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蛆虫清创疗法用于治疗严重肢体缺血和严重心脏功能障碍患者：肢体挽救的可能性

Maggot debridement therapy for a patient with critical limb ischaemia and severe cardiac dysfunction: possibility of limb salvage.

作者信息

Nishijima Akio, Yamamoto Naoto, Yoshida Ryuichi, Hozawa Koji, Yanagibayashi Satoshi, Takikawa Megumi, Hayasaka Rie, Nishijima Junko, Okada Tadasu, Sekido Mitsuru

机构信息

Department of Plastic and Reconstructive Surgery, New Tokyo Hospital, Matsudo, Chiba, Japan.

Department of Cardiovascular Medicine, New Tokyo Hospital, Matsudo, Chiba, Japan.

出版信息

Case Reports Plast Surg Hand Surg. 2017 May 16;4(1):42-47. doi: 10.1080/23320885.2017.1327322. eCollection 2017.

DOI:10.1080/23320885.2017.1327322
PMID:28567433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5439397/
Abstract

Ischaemic skin ulcer occurred on the foot of a 73-year-old man who had a history of fulminant myocarditis with severe cardiac dysfunction. We attempted wound bed preparation by maggot debridement therapy and salvaged his limb. It can be one of the adjuvant treatment strategies for critical limb ischaemia.

摘要

一名73岁男性足部出现缺血性皮肤溃疡，该患者有暴发性心肌炎病史并伴有严重的心功能不全。我们尝试采用蛆虫清创疗法进行创面床准备，并挽救了他的肢体。这可以成为严重肢体缺血的辅助治疗策略之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2fd/5439397/9f4de33caf1c/icrp_a_1327322_f0003_c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2fd/5439397/11e95a91043e/icrp_a_1327322_f0001_c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2fd/5439397/e9d9b1af9bbb/icrp_a_1327322_f0002_c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2fd/5439397/9f4de33caf1c/icrp_a_1327322_f0003_c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2fd/5439397/11e95a91043e/icrp_a_1327322_f0001_c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2fd/5439397/e9d9b1af9bbb/icrp_a_1327322_f0002_c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2fd/5439397/9f4de33caf1c/icrp_a_1327322_f0003_c.jpg

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J Eur Acad Dermatol Venereol. 2016 May;30(5):776-82. doi: 10.1111/jdv.13534. Epub 2015 Dec 21.
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Increase in skin perfusion pressure after maggot debridement therapy for critical limb ischaemia.蛆虫清创疗法治疗严重肢体缺血后皮肤灌注压升高。
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Predictive scoring model of mortality after surgical or endovascular revascularization in patients with critical limb ischemia.
耐甲氧西林金黄色葡萄球菌所致深部伤口感染的辅助性蛆清创疗法
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Two cases of maggot debridement therapy in pyoderma gangrenosum.两例坏疽性脓皮病的蛆虫清创疗法
JAAD Case Rep. 2018 Nov 10;4(10):1027-1029. doi: 10.1016/j.jdcr.2018.07.016. eCollection 2018 Nov.
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危重症肢体缺血患者手术后或血管内血运重建后死亡率的预测评分模型。
J Vasc Surg. 2014 Aug;60(2):383-9. doi: 10.1016/j.jvs.2014.02.059. Epub 2014 Apr 14.
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