[Advances in the research of Fournier gangrene]

Zhonghua Shao Shang Za Zhi. 2020 Jan 20;36(1):70-76. doi: 10.3760/cma.j.issn.1009-2587.2020.01.014.
[Article in Chinese]

Abstract

Fournier gangrene is a relatively rare clinical critical disease, and its clinical symptoms are not specific and easily unrecognized by some clinicians. It has the features of acute onset, quick development, severe illness, and often accompanied by infection shock which is seriously life-threatening. It is difficult in treatment with high medical costs and long length of hospitalization, which increases pain for patients and relatives and brings heavy economic and psychological burden on patients, society, and medical workers. By reviewing the literature home and abroad and combined with clinical practice, I summarize the researches on concept, epidemiology, clinical manifestation, diagnosis and treatment of Fournier gangrene, in order to provide reference for vast number of clinical workers.

Fournier坏疽是临床上较罕见的急危重症,其症状不具特异性,极易误诊,又具有起病急、进展快、病情重、常伴随感染性休克而严重危及患者生命的特点。Fournier坏疽治疗难度大、医疗成本高,患者住院时间长,既增加了患者及家属的痛苦,也为患者、社会及医务工作者带来了沉重的经济和心理负担。笔者查阅国内外文献并结合临床经验,从Fournier坏疽的定义、流行病学、临床表现、诊断、治疗等方面进行总结,供广大临床工作者参考。.

Keywords: Epidemiology; Fasciitis, necrotizing; Fournier gangrene; Treatment.

MeSH terms

  • Debridement
  • Fournier Gangrene*
  • Humans