创伤骨科对1例坏疽性脓皮病的误诊误治  

A case report of the orthopaedic trauma's misdiagnose and therapeutic error of pyoderma gangrenosum

作　　者：曹冬[1] 

机构地区：[1]南京中医药大学第一临床医学院,江苏南京210000

出　　处：《中国医药导报》2014年第13期81-83,共3页China Medical Herald

摘　　要：坏疽性脓皮病临床表现为破坏性、坏死性、非感染性皮肤溃疡,临床还出现疖样结节、脓疱或出血性大疱。触痛性的结节红斑,初为红色,以后中央变蓝色,最终形成溃疡。坏疽性脓皮病是一种少见的血管炎类皮肤病,以急性起病,迅速发展为特点。坏疽性脓皮病常伴全身中毒症状和器官受累,病死率较高。早期常因误诊而得不到有效治疗,从而加重病情的进展,甚至影响预后。现报道创伤骨科对坏疽性脓皮病误治1例,未明确诊断先采用手术室间隔缺损(VSD)负压吸引治疗,病情不能得到有效控制,明确诊断后应用激素联合丙球冲击疗法治疗,病情好转。现分享成功的诊治经验,以供相关学者参考。Pyoderma gangrenosum is a rare skin disease that involves inflammation of vascellum. Characteristic fea- tures are acute onset and rapid development. It is invasiveness and recidivity with a high mortality rate. In the begin- ning, pyoderma gangrenosum often cannot get effective treatment because of misdiagnosis. Without effecetive treatment at first, most patients will be sicker even has a influence after recovery. This paper has reported on the application of hormone combined with gammaglobulin therapy in the treatment of pyoderma gangrenosum in 1 case, to share the ex- perience of successful diagnosis and treatment, in order to offer the reference related scholars.

关 键 词：坏疽性脓皮病 免疫系统 治疗 

分 类 号：R753.7[医药卫生—皮肤病学与性病学]