关键词: Case reports Children Haematology Hyperbaric oxygenation Injuries Surgery

Mesh : Humans Male Hyperbaric Oxygenation / methods Hematoma / etiology therapy Circumcision, Male / adverse effects Noonan Syndrome / complications therapy Infant Orchiopexy / methods Cryptorchidism / complications surgery therapy Purpura, Thrombocytopenic, Idiopathic / complications therapy Scrotum / injuries Penile Diseases / etiology therapy Postoperative Complications / therapy etiology Enoxaparin / therapeutic use administration & dosage Plasma Edema / etiology therapy

来  源:   DOI:10.28920/dhm54.2.133-136

Abstract:
Hyperbaric oxygen treatment (HBOT) can be utilised for necrotising soft tissue infections, clostridial myonecrosis (gas gangrene), crush injuries, acute traumatic ischaemia, delayed wound healing, and compromised skin grafts. Our case was a 17-month-old male patient with Noonan syndrome, idiopathic thrombocytopenic purpura, and bilateral undescended testicles. Haematoma and oedema developed in the scrotum and penis the day after bilateral orchiopexy and circumcision. Ischaemic appearances were observed on the penile and scrotal skin on the second postoperative day. Enoxaparin sodium and fresh frozen plasma were started on the recommendation of haematology. Hyperbaric oxygen treatment was initiated considering the possibility of tissue necrosis. We observed rapid healing within five days. We present this case to emphasise that HBOT may be considered as an additional treatment option in patients with similar conditions. To our knowledge, no similar cases have been reported in the literature.
摘要:
高压氧治疗(HBOT)可用于坏死性软组织感染,梭菌心肌坏死(气体坏疽),挤压伤,急性创伤性缺血,伤口愈合延迟,和受损的皮肤移植物。我们的病例是一名17个月大的Noonan综合征男性患者,特发性血小板减少性紫癜,和双侧睾丸未降。双侧睾丸固定术和包皮环切术后的第二天,阴囊和阴茎出现血肿和水肿。术后第二天在阴茎和阴囊皮肤上观察到缺血性表现。根据血液学的建议,开始使用依诺肝素钠和新鲜冷冻血浆。考虑到组织坏死的可能性,开始了高压氧治疗。我们观察到在五天内迅速愈合。我们提出这种情况是为了强调HBOT可以被认为是类似疾病患者的额外治疗选择。据我们所知,文献中未报道类似病例.
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