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Visiting department: dermatology treatment cost: about (5000-10000 yuan) in the top three hospitals in the city. Cure rate: treatment cycle: treatment method: Chinese medicine treatment and Western medicine treatmentGeneral treatment of bacterial synergistic gangrene
This disease is a multi-bacterial mixed infection, and there is a strong synergistic effect among pathogenic bacteria, so it is difficult to treat it.
1. Extensive resection of necrotic tissue. In addition to the necrotic tissue of ulcer focus, the surrounding lesion tissue should also be resected. If the wound surface is large, the dressing can be changed day by day, and skin grafting can be carried out after the granulation is fresh.
2. Selection of effective antibiotics Because of the diversity and complexity of pathogenic bacteria, the treatment of this disease is complicated, so antibiotics should be selected and adjusted according to the results of bacterial culture and drug sensitivity test. Results Before reporting, penicillin antibiotics can be used. It has been reported that imipenem/cilastatin sodium (Tylenol) has a significant curative effect on this disease. Tylenol has a strong inhibition of bacterial cell wall synthesis ability to most of the gram-positive and gram-negative aerobic and anaerobic bacteria have a killing effect.
3. Zinc oxide ointment can be applied to the periphery of ulcer to protect the surrounding healthy skin.
4. Support treatment with high protein and high vitamin diet, combined with intravenous administration of a variety of compound amino acids, fresh blood, protein, etc. Anisodamine can be used to improve limb blood circulation.
5. Contact isolation. Dressings and secretions should be sterilized centrally. Medical staff must wash their hands strictly before and after operation to prevent cross infection.
Second, the prognosis
Bacterial synergistic gangrene mainly invades subcutaneous soft tissue, and the course of disease develops slowly. Active comprehensive treatment has no significant effect on body function.
Syndrome differentiation and treatment of bacterial synergistic gangrene
The treatment of "strengthening body resistance and eliminating pathogenic factors, promoting granulation and clearing damp heat" by traditional Chinese medicine is adopted, and Astragalus membranaceus and American ginseng are used to invigorate qi to improve the whole body condition and limb circulation.
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