Gas Gangrene

1
Gas Gangrene

• 21/07/2005

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2
??????? ???????

• Clostridia ???? ????? ?????? ?? 15-35 ?? ???????
• C. Perfringes 90
• C. Novyl, C. Septicum 10
• ???????? ???????????? ???? ?????? ?? 65-85 ??
  ???????

3
????? ??????? ??????? ? Clostridia

• ??????? ??????? ??????? ???????? ???? ??? ???????
  ?????? ???? ???? ??????? 43
• ????????? ???????? ???????? ?? ?????? ??????
  ?????? ????????? 29
• ??????? ??????? ?????? ?????? ????? 28

4
????? ??????? Mc Lenan

• ????? ???? ?? ?????
• ????? ?? ????? ? ????? ?????? ??? ????? ??????
• ?????? ???? ????? ????? ?Gas Gangrene

5
????????? ????????

• ??????? ?? 12 60 ????
• ??? ????? ?? ?????
• ???? ??? ??? ?????? ???????
• ???? ????? ??? 24 ????
• ??? ?????? ??? ????
• ?????? ???? ????? ???? ?????
• ????? 85 -90 ?? ??????? ??????? ? 40 ??? ??????

6
??????? ?????????

• ????? ???????
• X-ray, CT, MRI
• ELISA ???? ???? ?? a-Toxin

7
???????

• ????? ???? ?? 24 48 ???? ?? ??? ?????? ??????
• ???????
• Penicillin G 50,00080,000 U/kg 4-6 doses/d
• Clindamycin 10-15 mg/kg/d 2-3 doses
• Cephalosporin III
• Metronidazol 15 mg/kg/d
• ?????????? ???? ????? 90-120 min/8h 48h

8
X- ray
9
(No Transcript)
10
MoKazem.com

• ??? ???????? ?? ?? ????? ??????? ?? ??????? ?
  ??????? ?? ??? ??????? ???????? ?? ???? ???????
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• ?????? ??? ????? ?? ??????? ??????? ?? ???
  ????????.
• This lecture is one of a series of lectures were
  prepared and presented by residents in the
  department of orthopedics in Damascus hospital,
  under the supervision of Dr. Bashar Mirali.
• This site is not responsible of any mistake may
  exist in this lecture.

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Dr. Muayad Kadhim