Malyshev Iu I, Fokin A A, Zotov S P, Verbovetskiĭ L P, Syrtsev S M
Khirurgiia (Mosk). 1989 Mar(3):29-32.
This is a report on 39 patients (from 36 to 84 years of age) with acute ischemic gangrene of the lower limbs and severe concomitant diseases (ischemic heart disease, arterial hypertension, diabetes mellitus, etc.). Cooling of the necrotic limb with the application of a tourniquet and general nonoperative treatment were conducted in preparation for amputation. Cooling was accomplished with dry ice and common ice in 16 patients and with a special refrigerator in 23 patients. Six patients whose condition was very grave died during refrigeration. Amputation of the lower limb was performed in 33 patient, 26 of them tolerated the operation favourably. Wound complications were encountered in 9 patients.
这是一份关于39例患者（年龄在36至84岁之间）的报告，这些患者患有下肢急性缺血性坏疽并伴有严重的合并症（缺血性心脏病、动脉高血压、糖尿病等）。在准备截肢手术时，对坏死肢体进行了使用止血带的降温处理以及一般的非手术治疗。16例患者使用干冰和普通冰块进行降温，23例患者使用特殊冰箱进行降温。6例病情非常严重的患者在降温过程中死亡。33例患者接受了下肢截肢手术，其中26例手术耐受良好。9例患者出现了伤口并发症。
