Pinzur M S, Stuck R, Sage R, Osterman H
Department of Orthopaedics & Rehabilitation, Loyola University Medical Center, Maywood, Illinois 60153.
Foot Ankle. 1993 Jun;14(5):254-6. doi: 10.1177/107110079301400503.
Eight adult insulin-requiring diabetics with peripheral vascular disease were admitted with foot infection and signs of systemic sepsis. Transcutaneous oxygen tension was measured at the foot and ankle prior to surgery. None of the values were sufficient to support wound healing. Four of the patients underwent open ray resection and four open midfoot amputation. After resolution of the local infections, transcutaneous oxygen tensions were repeated. Seven of the eight patients exhibited an appreciable increase in the value following decompression of the foot infection, sufficient to support wound healing.
八名患有外周血管疾病且需要胰岛素治疗的成年糖尿病患者因足部感染和全身败血症迹象入院。术前测量了足部和脚踝的经皮氧分压。没有一个数值足以支持伤口愈合。其中四名患者接受了开放性跖骨切除，四名接受了开放性中足截肢。局部感染消退后，再次测量经皮氧分压。八名患者中有七名在足部感染减压后数值有明显升高，足以支持伤口愈合。
