与新型冠状病毒肺炎相关的静脉性坏疽：采用最佳伤口处理方法的成功保肢策略
Venous gangrene associated with COVID-19: Successful limb preservation strategies with optimal wound management.
作者信息
Facciponte Dominic N, Shaw Palma
机构信息
College of Medicine, SUNY Upstate Medical University, United States.
Department of Surgery, Division of Vascular and Endovascular Services, SUNY Upstate Medical University, United States.
出版信息
Ann Vasc Surg Brief Rep Innov. 2022 Jun;2(2):100095. doi: 10.1016/j.avsurg.2022.100095. Epub 2022 May 26.
During the COVID-19 pandemic, high rates of arterial and venous thromboembolic (VTE) events were noted in association with increased rates of major amputation. VTE appears to be a significant source of morbidity and mortality for this patient population and numerous methods have been described to achieve limb salvage. Nevertheless, best management remains unclear. We describe the case of a 60-year-old male with severe venous gangrene secondary to a non-occlusive mid-femoral and occlusive infrapopliteal deep venous thromboses associated with COVID-19 infection who ultimately underwent meticulous local wound care and transmetatarsal amputation, which allowed for maximal preservation of foot function and limb salvage.
在新冠疫情期间，人们注意到动脉和静脉血栓栓塞（VTE）事件的发生率很高，同时大截肢率也有所上升。VTE似乎是这类患者发病和死亡的一个重要原因，并且已经描述了多种实现肢体挽救的方法。然而，最佳管理方案仍不明确。我们描述了一名60岁男性的病例，该患者因与新冠病毒感染相关的非闭塞性股中静脉和闭塞性腘下深静脉血栓形成继发严重静脉坏疽，最终接受了细致的局部伤口护理和经跖骨截肢术，从而最大程度地保留了足部功能并实现了肢体挽救。
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