气性坏疽、糖尿病和上肢截肢。
Gas gangrene, diabetes and amputations of upper extremities.
机构信息
Cardiology and Cardiovascular Surgery Department of the Medicine School in São José do Rio Preto-FAMERP-Brazil and CNPq (National Council for Research and Development)-Brazil.
Occupational therapist, Professor of Postgraduate in Medicine School in São José do Rio Preto-FAMERP-Brazil.
出版信息
Acta Biomed. 2020 Mar 19;91(1):44-46. doi: 10.23750/abm.v91i1.7287.
PURPOSES
The aim of the current study was to evaluate epidemiological data on amputations of upper extremities.
METHODS
The main causes of upper extremity amputations performed in the period from January 1998 to January 2008 in Hospital de Base, São José do Rio Preto were retrospectively evaluated in a descriptive and quantitative cross-sectional study. Data, including the age of the patient, gender and the reason for surgery, were obtained from hospital records identified by the international classification of diseases (ICD) code for amputation.
RESULTS
A total of 2919 amputations were performed in the period of this study with only 23 involving the upper extremities; thus 22 patients were included in this study as one was submitted to amputation of both arms. Fifteen patients (65.21%) were male with ages that ranged between 18 and 84 years old (mean = 41.6 years old). Seven patients (34.79%) were women with ages from 24 to 87 years old (mean = 58.8 years old). The causes for amputation were: accidents (14), gas gangrene (4), malignant neoplasms (3), arterial thrombosis (1) and unidentified cause (1).
CONCLUSION
Gas gangrene of the upper extremities is associated to diabetes mellitus which highlights the severity of the disease.
目的
本研究旨在评估上肢截肢的流行病学数据。
方法
采用描述性和定量的横断面研究，回顾性评估了 1998 年 1 月至 2008 年 1 月期间在巴西圣若泽杜里奥普雷托基础医院进行的上肢截肢的主要原因。数据包括患者的年龄、性别和手术原因，这些数据来自于医院记录，通过国际疾病分类（ICD）代码识别出截肢原因。
结果
在这项研究期间共进行了 2919 例截肢手术，仅有 23 例涉及上肢，因此本研究共纳入了 22 名患者，其中 1 名患者进行了双臂截肢。15 名患者（65.21%）为男性，年龄在 18 至 84 岁之间（平均年龄为 41.6 岁）。7 名患者（34.79%）为女性，年龄在 24 至 87 岁之间（平均年龄为 58.8 岁）。截肢的原因包括：事故（14 例）、气性坏疽（4 例）、恶性肿瘤（3 例）、动脉血栓（1 例）和不明原因（1 例）。
结论
上肢气性坏疽与糖尿病有关，这突出了疾病的严重性。
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