Lobmann R, Motzkau M, Wagner A-K, Lehnert Hendrik
Klinik für Endokrinologie, Diabetologie und Geriatrie, Klinikum Stuttgart-Bürgerhospital, Stuttgart.
Vasa. 2009 Feb;38 Suppl 74:19-22. doi: 10.1024/0301-1526.38.S74.19.
Amputations are relevant problems not only for the surgeon. Physicians and dialectologists are also involved into the wound treatment, the coordination of the attending problems which leads to impaired wound healing (e.g. hyperglycaemia, infection, arterial occlusive disease). Internists should be part of the interdisciplinary setting and also of the decision for the necessary amputation. A well coordinated and interdisciplinary procedure allows to control appearing wound healing disturbances and to receive a functionally optimal result by employing minimal surgical interventions.
截肢不仅是外科医生面临的重要问题。内科医生和语言治疗师也参与伤口治疗,处理导致伤口愈合受损的相关问题(如高血糖、感染、动脉闭塞性疾病)。内科医生应参与多学科协作,并参与决定是否需要进行截肢手术。协调良好的多学科程序能够控制出现的伤口愈合障碍,并通过采取最小限度的外科干预获得功能上的最佳效果。