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[血管治疗在糖尿病患者脓性坏死性足部溃疡综合治疗中的疗效]

[Efficacy of vascular therapy in complex of treatment of purulent necrotic foot ulcers in patients with diabetes mellitus].

作者信息

Podpriatov S Ie, Lisovets' V V, Huch A O, Tovkun V K, Slobodeniuk I M, Hupalo Iu M

出版信息

Klin Khir. 2001 Feb(2):27-9.

Abstract

The result of treatment of purulent-necrotic affection of foot (PNAF) in 151 patients with diabetes mellitus (DM) was estimated. The conduction of preoperative medicinal therapy is mandatory for the general status of patient stabilization only. After prescribing of heparin, no-spa, papaverin, rheopolyglucinum, solcoseryl, aspirin the foot tissues blood supply is changing nonvitally, the foot tissues blood supply while the alprostan intravenous infusion improves significantly. The alprostan prescription during performance of operative intervention on foot in patients with PNAF, caused by DM, and in the collateral blood flow decompensation of the leg and foot arteries is mandatory.

摘要

评估了151例糖尿病患者足部化脓性坏死性病变(PNAF)的治疗结果。术前药物治疗仅对稳定患者的一般状况是必需的。在使用肝素、诺仕帕、罂粟碱、右旋糖酐、舒康博、阿司匹林后,足部组织的血液供应无显著变化,而静脉输注前列地尔可显著改善足部组织的血液供应。对于由糖尿病引起的PNAF患者,以及在腿部和足部动脉侧支血流代偿失调的情况下,在进行足部手术干预时必须使用前列地尔。

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