{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T19:56:50Z","timestamp":1694635010244},"reference-count":35,"publisher":"Akademiai Kiado Zrt.","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,3,1]]},"abstract":"<jats:p>A h\u00edmvessz\u0151 fulmin\u00e1ns gangr\u00e9n\u00e1j\u00e1t Fournier t\u00f6bb mint 200 \u00e9ve le\u00edrta, kezel\u00e9s\u00e9t illet\u0151en azonban fenn\u00e1llnak bizonyos ellentmond\u00e1sok. A betegs\u00e9get ma m\u00e1r nem tekintj\u00fck idiopathi\u00e1snak, mert a legt\u00f6bb esetben urol\u00f3giai, colorectalis vagy b\u0151reredet\u0171 forr\u00e1s kimutathat\u00f3. A hal\u00e1loz\u00e1si ar\u00e1ny tov\u00e1bbra is magas, k\u00fcl\u00f6n\u00f6sk\u00e9ppen kiterjedt folyamatok eset\u00e9n. Hajlamos\u00edt\u00f3 t\u00e9nyez\u0151nek tekintj\u00fck a\u00a0cukorbetegs\u00e9get, az alkoholizmust \u00e9s az immunszuppresszi\u00f3s \u00e1llapotokat, k\u00fcl\u00f6n\u00f6s tekintettel a HIV-fert\u0151z\u00e9sre. A Fournier-gangr\u00e9na k\u00f3rism\u00e9je alapvet\u0151en a klinikai k\u00e9pen nyugszik, a genitoan\u00e1lis t\u00e1j\u00e9kon jelentkez\u0151 s\u00falyos, heveny gyullad\u00e1sos folyamatokat\u00a0indokolt a Fournier-gangr\u00e9na kiindul\u00e1si helyzet\u00e9nek tekinteni. S\u00fcrg\u0151s kezel\u00e9s sz\u00fcks\u00e9ges, amely az aerob \u00e9s anaerob k\u00f3rokoz\u00f3k ellen egyar\u00e1nt hat\u00e9kony, sz\u00e9les spektrum\u00fa antibiotikum-kezel\u00e9st \u00e9s a szeptikus \u00e1llapotban l\u00e9v\u0151 betegek intenz\u00edv oszt\u00e1lyos ell\u00e1t\u00e1s\u00e1t ig\u00e9nyli. Az azonnali seb\u00e9szi beavatkoz\u00e1s elengedhetetlen: az elhalt sz\u00f6vetek kimetsz\u00e9se \u00e9s az el\u00e9gs\u00e9ges dren\u00e1zs biztos\u00edt\u00e1sa. A seb\u00e9szi kezel\u00e9s rendszerint ism\u00e9tlend\u0151, majd a v\u00e9gleges sz\u00f6vethi\u00e1ny p\u00f3tl\u00e1sa esetenk\u00e9nt m\u00e1r speci\u00e1lis helyre\u00e1ll\u00edt\u00f3, plasztikai m\u0171t\u00e9ttel lehets\u00e9ges.<\/jats:p>","DOI":"10.1556\/oh.2009.28575","type":"journal-article","created":{"date-parts":[[2009,3,11]],"date-time":"2009-03-11T01:21:10Z","timestamp":1236734470000},"page":"549-553","source":"Crossref","is-referenced-by-count":3,"title":["Fournier\u2019s gangrene"],"prefix":"10.1556","volume":"150","author":[{"given":"Imre","family":"Romics","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Urol\u00f3giai Klinika Budapest \u00dcll\u0151i \u00fat 78\/B 1082"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","first-page":"345","volume":"3","year":"1883","journal-title":"Semaine Medicale"},{"key":"atypb2","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1046\/j.1365-2168.2000.01497.x","volume":"87","year":"2000","journal-title":"Br. 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