Fournier's gangrene

Fournier's gangrene

簡介:
-為泌尿科急症, 是一種壞死性感染(厭氧&嗜氧菌混合)或壞疽, 常侵犯會陰部。
-它首次被 Baurienne in 1764 and is named after a French venereologist, Jean Alfred Fournier following 5 cases he presented in clinical lectures in 1883.

危險因子:
   -糖尿病, 酗酒, 營養不良, 免疫抑制者

治療:
-抗生素 (Tazocin)
-清創
-高壓氧(for 厭氧菌)

預後:
經以上治療, 死亡率仍高達 40%.  78% (if 到院時已呈sepsis)
     "Fournier's gangrene: risk factors and strategies for management". World J Surg 30 (9): 1750–4.