Gangrene gas - subfascial anaerobic infection, accompanied by necrosis of muscle tissue and pronounced intoxication of the body, according to the Internet publication for girls and women from 14 to 35 years Pannochka. net Causes of gangrene gas The causative agents of gas gangrene are anaerobic microbes that constantly inhabit the intestines of domestic herbivores. Can be sown from the skin and feces of practically healthy individuals. Nutritional environment is the dead muscles and other tissues in the wound. Reproduction of microbes occurs in anoxic environment. Most anaerobic microbes in the process of life form a gas. Anaerobic infection tends to spread quickly, causing a pronounced general intoxication of the body. The entrance gates of infection are most often traumatic detachments of the limbs, wounds of the wound, much less often - foreign bodies, wounds of the large intestine. Even a small wound can be complicated by anaerobic infection. Anaerobic gangrene develops within the first 24 hours from the moment of injury, at least later.

Symptoms of gangrene gas Patients with gas gangrene complain of bursting pain in the wound. There is a rapidly increasing swelling of the extremities. In contrast to banal suppuration, there is no redness around the wound, on the contrary, the skin of the limb is pale with a cyanotic shade, often with spots of "bronze" color. When the limb is felt, the gas crunch (crepitation) in the subcutaneous tissue is determined. Crepitation is well defined when listening to a phonendoscope. There is a pronounced intoxication: the victim is inhibited or, conversely, rushes in bed and complains of severe pain in the wound area; pulse is frequent; tongue dryish, coated, possible vomiting. In the absence of treatment, intoxication rapidly increases, the victim falls into an unconscious state, and within 2-3 days of the trauma death may occur.

Although gas gangrene is rarely found in peaceful conditions, it should always be remembered for any injuries to both the limbs and the trunk.

The most likely development of gas gangrene in transport and mine injuries with the localization of wounds in the hips, buttocks; in persons serving cattle, pigs, sheep. goats, especially if the accident occurred in the place where the animals are kept, and the wound is contaminated with manure.

Sharp pain in the wound area, the appearance of a "pale" rapidly growing edema of the limb, gas crepitation, general intoxication cause a suspected gas gangrene.

Diagnosis of gangrene gas Diagnosis is based on a characteristic wound, general intoxication. The diagnosis is confirmed radiographically (the "porosity" of the muscle tissues is determined) and microscopically (the detection of clostridia in the wound detachable). Differential diagnosis is carried out with fascial gas-forming phlegmon (no muscle damage) and putrid (putrefactive) infection.

Treatment of gangrene gas "Lampasnye" sections of the skin, muscles, membranes with excision of necrotic tissue and suspicious for necrosis sites. Setting up the outflow of pus from the wound with washing with a solution of hydrogen peroxide and antibiotics; the wound is left open. Absolute peace of limb. Penicillin up to 20-40 million units per day (2-3 times a day intravenously) for 10-14 days, tetracycline. Anti-gangrenous serum and anatoxin are ineffective both in the treatment and in the prevention of gas gangrene.

With a rapid increase in intoxication - the guillotine amputation of the limb. The effect of oxygen under pressure is effective, however, surgical removal of the focus of infection from the wound is possible, the indications to which are clinical and radiological signs of gas gangrene with microscopically proven presence of clostridia in the wound.

Prevention consists in timely qualified primary surgical treatment of all contaminated wounds.

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