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Ann Vasc Surg. 2022 Nov;87:302-310. doi: 10.1016/j.avsg.2022.05.047. Epub 2022 Jul 6.
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Wagner's Classification as a Tool for Treating Diabetic Foot Ulcers: Our Observations at a Suburban Teaching Hospital.作为治疗糖尿病足溃疡工具的瓦格纳分级法：我们在一家郊区教学医院的观察结果
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9
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外周血管疾病背景下坏疽的理解：患病率、病因及截肢平面确定的考量因素

Understanding Gangrene in the Context of Peripheral Vascular Disease: Prevalence, Etiology, and Considerations for Amputation-Level Determination.

作者信息

Bhargava Abhilasha, Mahakalkar Chandrashekhar, Kshirsagar Shivani

机构信息

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Nov 18;15(11):e49026. doi: 10.7759/cureus.49026. eCollection 2023 Nov.

DOI:10.7759/cureus.49026
PMID:38116352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10728580/
Abstract

Gangrene is a grave complication of peripheral vascular disease (PVD), characterised by tissue necrosis due to inadequate blood supply. This review article comprehensively explores gangrene in PVD, encompassing its prevalence, aetiology, clinical presentation, diagnostic modalities, management strategies, prognosis, and future directions. Key factors influencing outcomes, including the timeliness of intervention and the choice between limb salvage and amputation, are identified. Moreover, this review underscores the importance of early detection and multidisciplinary care, emphasising the significance of patient-centred approaches. It also calls for increased awareness, continued research, and innovative solutions to improve the lives of individuals grappling with gangrene in the context of PVD.

摘要

坏疽是外周血管疾病（PVD）的一种严重并发症，其特征是由于血液供应不足导致组织坏死。这篇综述文章全面探讨了PVD中的坏疽，包括其患病率、病因、临床表现、诊断方法、管理策略、预后及未来方向。确定了影响预后的关键因素，包括干预的及时性以及保肢与截肢之间的选择。此外，本综述强调了早期检测和多学科护理的重要性，突出了以患者为中心方法的意义。它还呼吁提高认识、持续开展研究并提出创新解决方案，以改善在PVD背景下与坏疽作斗争的个人的生活。