报告4例特发件阴囊坏疽。其临床特点是:阴囊(及阴茎)皮肤在较短时间内肿痛坏死,渗液,有恶臭;患者发热,血象高,全身情况差(甚至衰竭)等。治疗为局部切开引流、针对性地使用抗生素、补液并纠正水电失衡,必要时尽早切除坏死组织,及时治疗伴发病等。经分析,作者认为其发病率常与①会阴部皮肤损伤感染,②下尿路梗阻感染,③肛周直肠炎症等因素有关。 Report of 4 cases of idiopathic scrotal gangrene. Its clinical features are: the scrotum (and penis) skin swelling and necrosis in a short period of time, exudate, stench; patients with fever, high blood, the general condition (or even failure) and so on. Treatment for local incision and drainage, targeted use of antibiotics, rehydration and correct hydropower imbalance, if necessary, remove necrotic tissue as soon as possible, timely treatment of associated diseases. After analysis, the authors believe that the incidence is often associated with peritoneal skin lesions, lower urinary tract obstruction infection, perianal inflammation and other factors.