Kinugawa Hiroki, Shimada Yasuyuki
Department of Cardiovascular Surgery, Yuri-Kumiai General Hospital, Japan.
J Rural Med. 2014;9(2):90-2. doi: 10.2185/jrm.2888. Epub 2014 Oct 6.
An 85-year-old malnourished man was admitted with ischemia-induced necrosis of the right leg and high-risk factors, including chronic obstructive pulmonary disease, pneumonia, and infection of the necrotic leg. We controlled the infection and provided proper nutrition. Using light general anesthesia and a nerve block, we amputated the leg above the knee. The patient could eat and drink the same day following the surgery, and respiratory rehabilitation was begun the next day. His postoperative course was uneventful. Our case suggests that maintenance of good nutrition may play a key role for high-risk elders undergoing leg amputation.
一名85岁的营养不良男性因右腿缺血性坏死以及包括慢性阻塞性肺疾病、肺炎和坏死腿部感染在内的高危因素入院。我们控制了感染并提供了适当的营养。采用浅全身麻醉和神经阻滞，我们在膝上进行了截肢手术。患者术后当天即可进食和饮水，术后第二天开始进行呼吸康复治疗。他的术后过程平稳。我们的病例表明，维持良好营养对于接受腿部截肢手术的高危老年人可能起着关键作用。
