Reichle F A, Rankin K P, Tyson R R, Finestone A J, Shuman C R
Am J Surg. 1979 May;137(5):653-6. doi: 10.1016/0002-9610(79)90041-2.
In patients with severe lower extremity ischemia (ischemic necrosis or pain at rest associated with physical findings of peripheral arterial insufficiency), diabetes mellitus should not deter thorough arteriography and consideration of arterial reconstruction. Infrapopliteal bypass can produce prolonged limb salvage in diabetic patients in lieu of primary amputation.
对于严重下肢缺血(缺血性坏死或静息痛伴外周动脉供血不足的体格检查表现)的患者,糖尿病不应妨碍进行全面的动脉造影检查及考虑动脉重建。对于糖尿病患者,腘以下动脉搭桥术可替代一期截肢,从而延长肢体保存时间。