L’OSSIGENOTERAPIA IPERBARICA NELLE SEPSISEVERA DA INFEZIONE DEI TESSUTI MOLLI

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Abstract

[automatically translated] Target. Necrotizing fasciitis (NF) is a rare soft tissue infection. It is characterized by widespread necrosis of the planking mainly caused by Streptococcus hemolyticus. It can be fatal if not handled properly, so it becomes MANDATORY an early diagnosis and a multidisciplinary treatment including hyperbaric oxygen therapy (HBOT), which is used both as a primary treatment or adiuvan- you in the treatment of infections such as gas gangrene , necrotizing fasciitis. Materials and methods. We describe three FN clinical cases. The first is a woman of 49 years with type II diabetes mellitus, who submitted a FN level of the left breast. He was admitted to intensive care for severe sepsis. prompt surgical debridement were performed, proper antibiotic therapy and 10 of HBOT to 2 cycles, 8 ATA. The second case is a 69 year old woman with diabetes mellitus type I; a perianal abscess is progressed up to determine a gangre- na Fournier of the perineum and scrotum. Even in questocaso, they were performed a rapid surgery and 15 cycles of HBOT, in addition to a broad-spectrum antibiotic therapy. The third patient was a 56 year old man who has had the secondary neck FN to a probable chemical lesion to be connected luttorio. He was hospitalized in intensive care for sepsis with respiratory failure from Seveso ra restriction of breathing space. An appropriate antibiotic therapy and 15 cycles of HBOT at 2.8 ATA enabled a regarding the return to integrum without surgery. Results. A combination antibiotic therapy and adjuvant hyperbaric oxygen therapy (HBOT) has allowed an excellent surgical debridement and after stabilization of the injuries and the fresh granulation tissue formation, the soft tissue defects were treated there using complex methods in ricostrutti- the first two cases. The third case was settled with the only antibiotic therapy and hyperbaric oxygen therapy. Discussion and conclusions. The HBOT appears to be an essential treatment in the soft tissue infections because it acts as a bactericidal / bacteriostatic against anaerobic bacteria by increasing the formation of free radicals oxygen supply and restores the bactericidal capacity of leukocytes in hypoxic wounds, increasing the of tissue oxygen tension; Furthermore,
Original languageItalian
Pages596-596
Number of pages1
Publication statusPublished - 2013

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