Nekrotizan Yumuşak Doku Enfeksiyonları: Klinik Sonuçlarımız
Yükleniyor...
Dosyalar
Tarih
2003
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
Attribution 3.0 United States
Özet
Bu çalışmada, kliniğimize nekrotizan fasiit tanısıyla kabul edilen hastaları inceledik.
Materyal ve metod: Üç yıllık bir periyod içerisinde kliniğimizde tedavi edilmiş 14 nekrotizan fasiit vakası retrospektif
olarak incelendi.
Bulgular: Hastaların dokuzu erkek (%64,3), beşi kadındı (%35,7). Sekiz hasta 60 yaşın üzerinde idi (ortalama
yaş:58,9). On hastada diabet (%71,4), üçünde periferik damar hastalığı (%21,4), ikisinde malignansi (%14,3) mevcut
olup iki hastada ise predispozan faktör tesbit edilmedi (%14,3). Dört hastada travma (%28,5), altı hastada geçirilmiş
cerrahi operasyon öyküsü (%42,9), iki hastada bası yarası (%14,3) mevcuttu. Tüm hastalarda mikroorganizmalar
izole edildi ve cerrahi debridman yapıldı. İki hasta öldü (%14,3).
Sonuç: Nekrotizan fasiitte erken tanı, cerrahi debridman ve yoğun bakım tedavisi prognoz açısından önemli
faktörlerdir.
In this study, we investigated these cases admitted to the clinic with diagnosis of necrotizing fasciitis. Material and methods: Fourteen cases of necrotizing fasciitis, treated in the our the clinic in a period of three years were evaluated retrospectively. Results: There were 9 male (64,3%) and 5 female (35,7%) patients. Eight patients were older than 60 years of age (mean age: 58,9). Ten patients were diabetic (71,4%), 3 suffered from peripheric vascular disease (21,4%), 2 patients had malignancy (14,3%) and 2 patients had no predisposing factors (14,3%). Four patients had history of trauma (28,5%), 6 patients had undergone surgery (42,9%) and 2 patients had pressure sores. In all cases microorganisms were isolated and surgical debridement was performed. Two patients (14,3%) deceased in the whole group. Conclusion: Early diagnosis, surgical debridement and intensive care treatment are important in the prognosis of the necrotizing fasciitis.
In this study, we investigated these cases admitted to the clinic with diagnosis of necrotizing fasciitis. Material and methods: Fourteen cases of necrotizing fasciitis, treated in the our the clinic in a period of three years were evaluated retrospectively. Results: There were 9 male (64,3%) and 5 female (35,7%) patients. Eight patients were older than 60 years of age (mean age: 58,9). Ten patients were diabetic (71,4%), 3 suffered from peripheric vascular disease (21,4%), 2 patients had malignancy (14,3%) and 2 patients had no predisposing factors (14,3%). Four patients had history of trauma (28,5%), 6 patients had undergone surgery (42,9%) and 2 patients had pressure sores. In all cases microorganisms were isolated and surgical debridement was performed. Two patients (14,3%) deceased in the whole group. Conclusion: Early diagnosis, surgical debridement and intensive care treatment are important in the prognosis of the necrotizing fasciitis.
Açıklama
İnönü Üniversitesi Tıp Fakültesi Dergisi
10(4) 187-190 (2003)
Anahtar Kelimeler
Nekrotizan Fasiit, Predispozan Faktörler, Erken Tedavi, Necrotizing Fasciitis, Predisposing Factors, Early Treatment
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Demir, Canser Yılmaz ;Kunt, Alper ;İnönü Üniversitesi Tıp Fakültesi Dergisi 10(4) 187-190 (2003)
