Malyshev Iu I, Fokin A A, Zotov S P, Verbovetskiĭ L P
Klin Khir (1962). 1990(7):28-31.
When preparing for amputation in 153 patients with acute ischemic gangrene of a lower extremity, the tourniquet-cold isolation was used. In 137 patients, the damaged extremity was freezed by means of a special portable freezing chamber, which can be used in any surgical in-patient department. The duration of cooling ranged from 18 hrs to 14 days. The state improved in 136 patients, the amputation of the extremity was performed in them. The use of freezing of the damaged extremity permitted to reduce the postoperative lethality from 41 to 19.1%. A high effectiveness of the method in gangrene of the extremity against the background of diabetes mellitus was noted.
在为153例下肢急性缺血性坏疽患者准备截肢手术时，采用了止血带 - 低温隔离法。在137例患者中，使用一种特殊的便携式冷冻箱对受损肢体进行冷冻，该冷冻箱可在任何外科住院科室使用。冷却持续时间为18小时至14天。136例患者病情改善，随后对其进行了肢体截肢手术。对受损肢体进行冷冻可使术后死亡率从41%降至19.1%。该方法在糖尿病背景下的肢体坏疽治疗中显示出高效性。
