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Nekrotizan Yumuşak Doku Enfeksiyonları: Klinik Sonuçlarımız

Necrotizing Soft Tissue Infections: Our Clinical Results

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
Objective: 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.
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Abstract (Original Language): 
Amaç: 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.
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  • 4
187-190
  • Turkish

REFERENCES

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