Eneroth M, Persson B M
Department of Orthopedics, Helsingborgs Iasarett, Sweden.
Acta Orthop Scand. 1993 Jun;64(3):369-72. doi: 10.3109/17453679308993647.
We examined factors which may lower the mean amputation age and factors which may serve as predictors of success or failure of amputations in the lower extremities for vascular disease in 177 consecutive amputees. Smoking lowered the mean amputation age by 9 years and diabetes by 3 years. Preoperative absence of gangrene in the ischemic limb predicted a higher risk of failure compared to patients with gangrene. Also preoperative hemoglobin > 120 g/L gave a higher risk of failure. Failure to heal was not correlated with age, sex, diabetes, level of amputation, previous vascular surgery, smoking, preoperative blood pressure, serum creatinine, erythrocyte sedimentation rate, blood glucose or temperature.
我们研究了177例连续性下肢血管疾病截肢患者中可能降低平均截肢年龄的因素，以及可作为下肢截肢成功或失败预测指标的因素。吸烟使平均截肢年龄降低9岁，糖尿病使其降低3岁。与有坏疽的患者相比，缺血肢体术前无坏疽预示失败风险更高。此外，术前血红蛋白>120 g/L也提示失败风险更高。伤口愈合情况与年龄、性别、糖尿病、截肢平面、既往血管手术史、吸烟、术前血压、血清肌酐、红细胞沉降率、血糖或体温均无相关性。
