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外周血管疾病截肢术:一家区级综合医院的经验

Amputation for peripheral vascular disease: experience of a district general hospital.

作者信息

Haynes I G, Middleton M D

出版信息

Ann R Coll Surg Engl. 1981 Sep;63(5):342-4.

Abstract

Two hundred and ninety major lower-limb amputations were performed on 286 patients during the period 1969-79. The early mortality rate was 6.9%. The mean age of the amputees was 70.2 (range 35-91) years. The commonest site for amputation was above the knee (77.2%). Failure to obtain immediate satisfactory healing of the stump occurred in 18.4% and reamputation was required in 5.6%. The hospital mortality rate was 25.5%. Routine prophylactic penicillin was not given. One patient developed gas gangrene.

摘要

1969年至1979年期间,对286例患者实施了290例主要下肢截肢手术。早期死亡率为6.9%。截肢患者的平均年龄为70.2岁(范围35 - 91岁)。最常见的截肢部位是膝上(77.2%)。残端未能立即获得满意愈合的发生率为18.4%,需要再次截肢的比例为5.6%。医院死亡率为25.5%。未给予常规预防性青霉素治疗。1例患者发生了气性坏疽。

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本文引用的文献

5
The fate of elderly amputees.老年截肢者的命运。
Br J Surg. 1974 Aug;61(8):665-8. doi: 10.1002/bjs.1800610817.
6
The above-knee amputation for ischaemia.
Br J Surg. 1971 Sep;58(9):656-9. doi: 10.1002/bjs.1800580906.
7
Vascular amputees: a study in disappointment.血管性截肢患者:一项令人失望的研究。
Lancet. 1974 Apr 27;1(7861):793-5. doi: 10.1016/s0140-6736(74)92855-4.
9
Amputation for vascular disease.因血管疾病进行截肢手术。
Br J Surg. 1976 Sep;63(9):683-90. doi: 10.1002/bjs.1800630904.

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