外周动脉疾病的多学科治疗方法：你的团队里都有谁？
Multidisciplinary Approach to PAD: Who's on Your Team?
作者信息
Dhand Sabeen
机构信息
Department of Radiology, Lambert Radiology Medical Group at PIH Health, Whittier, California.
出版信息
Semin Intervent Radiol. 2018 Dec;35(5):378-383. doi: 10.1055/s-0038-1676094. Epub 2019 Feb 5.
Abstract
The complexity of peripheral arterial disease (PAD) and its multiorgan involvement requires the utilization of a multispecialty team approach. Members of this team include a vascular specialty (interventional radiology, cardiology, and vascular surgery), podiatry, orthopedic surgery, primary care, infectious disease, endocrinology, plastic surgery, wound care nursing, and dietetics. A team approach has been proven to significantly improve patient outcomes as well as decreasing amputation rates. In order to promote collaboration and avoid duplication of care, the team can be broken down into three main pillars: medical management, wound care, and revascularization. A complete team approach is vital for this population, with an overall goal to treat all manifestations of the disease and prevent further progression and risk of major sequelae of the disease.
摘要
外周动脉疾病（PAD）的复杂性及其多器官受累情况需要采用多专科团队的方法。该团队成员包括血管专科（介入放射学、心脏病学和血管外科）、足病学、整形外科、初级保健、传染病学、内分泌学、整形外科、伤口护理护理和营养学。事实证明，团队协作方法可显著改善患者预后并降低截肢率。为促进协作并避免护理工作的重复，该团队可分为三个主要支柱：医疗管理、伤口护理和血运重建。对于这一群体而言，完整的团队协作方法至关重要，其总体目标是治疗该疾病的所有表现形式，并防止疾病进一步发展及出现主要后遗症的风险。
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