Gangrene of temperament threatens the wounded

Gangrene of temperament threatens the wounded
Gangrene of temperament threatens the wounded
Peking University third Professor, department of general surgery of hospital, build the intersection of allusion quatation and honour, infect, include non- specific infection and specific infection. The latter refers to some infection with specific behavior caused by special bacterial infection, including tetanus, anthrax, tuberculosis, actinomycetes are ill,etc., among them gangrene of temperament is a kind of specific infection caused by bacillus of fusiform gemma, the onset is urgent, serious, mortality is high. It is one kind in the anaerobe that gangrene of temperament takes place in the place fusiform gemma bacillus of wound, including producing the membrane bacillus of angry pod, malignant hydropic bacillus, frustrate the bacillus of blood, dissolve and organize the bacillus and produce the bacillus of gemma. This kind of bacterium could survive in the environment without oxygen. Just because the detesting oxygen characteristic of this kind of bacterium, so not apt to see this kind of infection usually, generally only take place at open fracture, after deep muscles dampen, pinch necrosis extensively. The majority all have a large number of necrosis organizations to exist under these situations, but necrosis because does not have blood circulation while organizing, just have no oxygen. At this moment, if there is fusiform gemma bacillus which produces the angry characteristic that is polluted, gangrene of temperament may happen. Gangrene of temperament brings and pains gangrene of temperament vigorously to generally happen in about three or four days after injured or polluted. The bacterium will produce a large amount of gas in the wound, and cause and organize edema, so will cause the wound to pain vigorously, someone it describes the pain to be bloated to split pain of kind, this the intersection of temperament and gangrene initially main symptom too. Wound, temperament of gangrene have some other special behavior too, until the edema, skin are pale, nervous even shiny around the wound, then become mauve quickly, become greyish black finally, and there is blister of size of dark red liquid in appearing, can flow out malodorous slurry nature and courageous and upright liquid in the wound. The intersection of temperament and gangrene and it infects most great differences to be to have while pinching the skin around the wound gently while being ordinary " The creak creak " Feeling,be lasted feelinged that be snow hold with strength by handed, this is because reason of gas at muscular tissue. Can even see bubble and courageous and upright liquid to flow out from wound when oppressing the edge of wound. Because infect heavier, the patient's behavior is very weak, look pale, the cold sweat appears, heartbeat soon, have a fever, can reach more than 40 degrees sometimes. Display all over and part display, the condition is developed very fast, even can worsen within one or two hours sharply. The treatment wants once diagnoses clearly in time fast, treating must go on promptly, the operation will be begun within an hour. Should totally open the wound wide under general anesthesia at once first, will develop with a large amount of hydrogen peroxide solution, so can break the oxygen deficiency environment organized, do many places in the sick position to cut, foreign matter,etc. removing necrosis and organizing and polluting. Meanwhile, use heavy dose of antibiotic all over. The best method which prevents gangrene of temperament is to do the wound completely clearly and create to deal with in 6 hours after the wound took place, develop with a large amount of hydrogen peroxide solution, remove the organization of necrosis. In order to prevent gangrene of temperament from spreading, the patient should isolate, all clothes that the patient has used, dressing of wound, the operation apparatus is disinfected after should collect alone tooing, in order to avoid cross infection. The spread that will not be infected with temperament gangrene and temperament gangrene without wound is not like infectious disease, as to normal people, so long as would not be infected if there is not wound. This kind of bacterium exists in the earth extensively, everybody may keep in touch, just because there is not appropriate environment, so has not infected. It is not that gangrene of anthracia temperament is apt to let people remember another disease to chain gangrene of temperament - -Anthrax. Different from gangrene of temperament, the anthrax is a kind of strong infectious disease, anthrax may take place behind contacting the anthracia bacillus to the normal person. There are three kinds skin anthrax, pulmonary anthrax and intestines anthrax in the anthrax. The skin anthrax comparatively see more in the anthrax, call the malignant pustule too, is begun behind polluting the anthracia bacillus by skin very tiny wound, form a pustule within several days, expand gradually later. The centre position is begun by brownish-black eschar, and then become the same as charcoal, this is an origin of an anthracia name. Pulmonary anthrax or skin anthrax if does not treat in time after sowing all over scatteredly, can cause patient's death. The anthrax of intestines is relatively rare, but can also cause the death. Having infected the anthracia patient and must isolate for treatment, dressing, food, rubbish,etc. that the patient has used should be destroyed by fire, the persons who keep in touch should observe for 8 days.


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