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[下肢糖尿病血管病变的治疗]

[Treatment of diabetic angiopathies of the lower extremities].

作者信息

Borodianskiĭ V S, Ostapenko A N, Malinovskiĭ S Iu, Shoĭkhet A E

出版信息

Khirurgiia (Mosk). 1990 Jun(6):106-9.

PMID:2214557
Abstract

Patients with diabetes mellitus accounted for 7% of all hospitalized patients. The authors analyse the treatment of 126 patients in whom diabetes mellitus was complicated by angiopathies of the lower limbs. Patients over 60 years of age accounted for 60.3% of cases. Concomitant diseases were found in 87 patients. The article shows the main principles of the complex management of patients, which is based on correction of carbohydrate and other types of metabolism, treatment of concomitant diseases, and timely operation. When surgery was necessary in stage IV of the disease, preference was given to economical operations. It is shown that if amputation of the limb cannot be avoided, an effort should be made to preserve the knee. The mortality rate was 10.3%.

摘要

糖尿病患者占所有住院患者的7%。作者分析了126例糖尿病并发下肢血管病变患者的治疗情况。60岁以上患者占病例的60.3%。87例患者存在合并症。本文展示了患者综合管理的主要原则,该原则基于碳水化合物及其他类型代谢的纠正、合并症的治疗以及及时手术。当疾病处于IV期需要手术时,优先选择经济的手术方式。结果表明,如果无法避免截肢,应努力保留膝关节。死亡率为10.3%。

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