Malyshev Iu I, Fokin A A, Zotov S P, Verbovetskiĭ L P, Syrtsev S M
Khirurgiia (Mosk). 1991 Jul(7):59-63.
102 patients of a high operative risk were prepared for amputation of a lower extremity with acute ischemic gangrene by its freezing and tourniquet application. A special portable freezing chamber was used in most cases which could be installed in any surgical hospital. The refrigeration ranged from 18 hours to 14 days. Purposeful intensive treatment of all disorders suffered by the patient was conducted at the same time. In 92 patients the condition improved and the extremity was amputated. As compared to the control group, the postoperative mortality due to refrigeration reduced from 41 to 18.4%. The method was found to be highly effective in cases with gangrene and diabetes mellitus.
102例手术风险高的患者因急性缺血性坏疽准备接受下肢截肢手术，采用冷冻和使用止血带的方法。大多数情况下使用一种特殊的便携式冷冻箱，它可以安装在任何外科医院。冷冻时间从18小时到14天不等。同时对患者所患的所有病症进行有针对性的强化治疗。92例患者病情改善后进行了截肢手术。与对照组相比，冷冻导致的术后死亡率从41%降至18.4%。该方法被发现对坏疽和糖尿病患者非常有效。
