Marfin B I, Shamaev M P
Vestn Khir Im I I Grek. 1982 Feb;128(2):57-9.
The authors believe that the main criterion for choice of the method of treatment of diabetic patients with gangrene of lower extremities is the degree of compensation of blood circulation which was estimated by temperature asymmetry of necrosis on the crus. The conclusion is made on the basis of treatment of 62 patients. The amputation at the femur level is indicated in decompensated blood circulation, amputations on the foot associated with intensive pharmacotherapy are indicated in subcompensation. Complex conservative treatment is possible in patients with a starting gangrene.
作者认为,选择糖尿病下肢坏疽患者治疗方法的主要标准是通过小腿坏死部位温度不对称来评估的血液循环代偿程度。该结论是在对62例患者进行治疗的基础上得出的。血液循环失代偿时建议行股骨水平截肢术,代偿不足时建议行足部截肢术并辅以强化药物治疗。对于早期坏疽患者可行综合保守治疗。