Møller B N, Lucht U
Acta Orthop Scand. 1983 Dec;54(6):943-5. doi: 10.3109/17453678308992939.
In 46 amputations performed on account of peripheral occlusive arterial disease, the morphine puncture test (MPT) and the local skin perfusion pressure measurement (SPP) were carried out preoperatively. Below-knee (BK) amputation was performed when the SPP was greater than or equal to 40 mm Hg unless clinical criteria indicated otherwise. Out of 12 BK amputations without any clinical skin changes, where the SPP was greater than or equal to 40 mm Hg but the MPT was negative, healing was achieved in 11 patients. Thus, if the MPT had been used as an objective method to determine the amputation level, 11 knees would have been sacrificed. The MPT is thus not suitable for determination of amputation level in patients with peripheral occlusive arterial disease.
在因外周闭塞性动脉疾病而实施的46例截肢手术中，术前进行了吗啡穿刺试验（MPT）和局部皮肤灌注压测量（SPP）。当SPP大于或等于40 mmHg时，进行膝下（BK）截肢，除非临床标准另有指示。在12例无任何临床皮肤改变的BK截肢病例中，SPP大于或等于40 mmHg，但MPT为阴性，11例患者实现了愈合。因此，如果将MPT用作确定截肢水平的客观方法，将会牺牲11个膝盖。因此，MPT不适用于确定外周闭塞性动脉疾病患者的截肢水平。
