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KMID : 0377619730250050565
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Korean Jungang Medical Journal
1973 Volume.25 No. 5 p.565 ~ p.571
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Clinical Survey and Nursing Care of Gas Gangrene by Open Fractures
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Abstract
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Through this study aimed to observe the relation between open fractures and´ gas gangrene, the results obtained are as follows:
1) The 29 cases of this study were found to have been caused by traffic or other accidents.
2) The soft tissue in the region of open fracture was macerated, the bones were comminuted, and in many cases the open fracture developed into gas gangrene within 72 hours.
3) Gas gangrene caused by open fracture was primarily treated with the performing of open amputation and closed two or three weeks later.
And all the open fractures were daily treated by antiseptic dressing with hydrogen peroxide (2%) in the isolated room under the control of isolation technique.
And the 29 cases of gas gangrene with the multiple open fracture caused by traffic accident in our hospital were clinically and statistically surveyed from. March 1965 to December 1972.
The conclusion brought by the survey of age, sex, bacteriological agent and the, relation between amputation and gas gangrene with open fracture is as follows: 1) The age of 2_ to 30 occupied the largest part of all. cases, viz. 13 cases (44.8 °,) out of 29 cases.
2) 25 cases (86.2%) were of male and only 4 cases (13.8%) were of female, and its ratio is 5 to 1.
3) More than half of all cases, viz. 17 cases (58.6%) were caused by Clostridial
Perfringens (or C. Welchii) in bacteriological studies.
4) 13 cases (44.8%) took 48 to 72 hours of the time necessary for the bacilli.
5) Far more than half of all cases, viz. 19 cases (65.5%,) were injured on . Tiba and Fibula- (excluded ankle). .
6) Amputation procedure had a great influence on the mentality by the loss of part of the body.
Therefore, it should be considered that the most important ,Thing is to give hope of life and force of rehabilitation to all the cams as in the case of paraplegia patient. Arid I believe the favorable relation between the psychiatric physician and the
patients including the nursing care of tenderness will promote their willingness for revitalization.
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