缺血性糖尿病肢体的血管评估与重建

Vascular assessment and reconstruction of the ischemic diabetic limb.

作者信息

Hagino Ryan T

机构信息

Division of Vascular and Endovascular Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.

出版信息

Clin Podiatr Med Surg. 2007 Jul;24(3):449-67, viii. doi: 10.1016/j.cpm.2007.03.001.

DOI:10.1016/j.cpm.2007.03.001

PMID:17613385

Abstract

Peripheral artery disease (PAD) is a common finding among diabetic patients and is usually secondary to atherosclerosis. PAD in diabetic patients tends to be more malignant, presenting with diffuse involvement and more complications. Unless the ischemia is addressed concomitantly with local problems in the foot, resulting problems can lead to extensive tissue loss and major amputation. Lower extremity atherosclerotic complications in diabetic patients require considerable dedication and aggressiveness if limb loss is to be avoided.

摘要

外周动脉疾病（PAD）在糖尿病患者中很常见，通常继发于动脉粥样硬化。糖尿病患者的PAD往往更严重，表现为广泛受累和更多并发症。除非在解决足部局部问题的同时处理缺血问题，否则由此产生的问题可能导致广泛的组织损失和大截肢。如果要避免肢体丧失，糖尿病患者的下肢动脉粥样硬化并发症需要相当的投入和积极的治疗。