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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1994-10-17
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pubmed:abstractText |
From 1988 to 1992, 50 cases of perineal gangrene were treated with a therapeutic protocol combining: a) repeated extensive excisions, b) hyperbaric oxygen therapy, even before surgery if this was possible, and c) intensive care. The mortality rate was 24% (12/50). It was even higher in patients admitted more than 6 hours after diagnosis. The average stay in hospital was of 20 (+/- 2) days. Four patients presented with residual signs. Twenty-eight (56%) had had colostomy for lesions originating in the rectum or threatening the anal margin; 9 of these patients died, while gastrointestinal continuity was restored in another 17 cases. There were three predictive factors of survival in this series: a) early diagnosis and treatment, b) severity index on admission, c) some associations of bacteria.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0001-4001
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
118
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
607-13; discussion 614
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1345692-Adult,
pubmed-meshheading:1345692-Aged,
pubmed-meshheading:1345692-Aged, 80 and over,
pubmed-meshheading:1345692-Clinical Protocols,
pubmed-meshheading:1345692-Colostomy,
pubmed-meshheading:1345692-Debridement,
pubmed-meshheading:1345692-Female,
pubmed-meshheading:1345692-Gangrene,
pubmed-meshheading:1345692-Humans,
pubmed-meshheading:1345692-Hyperbaric Oxygenation,
pubmed-meshheading:1345692-Male,
pubmed-meshheading:1345692-Middle Aged,
pubmed-meshheading:1345692-Perineum,
pubmed-meshheading:1345692-Predictive Value of Tests,
pubmed-meshheading:1345692-Survival Rate
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pubmed:year |
1992
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pubmed:articleTitle |
[Gangrene of the perineum. Plea for a standardized therapeutic management apropos of 50 cases].
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pubmed:affiliation |
Hôpitaux Sud, Marseille.
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pubmed:publicationType |
Journal Article,
English Abstract,
Review
|