[A program of combined intensive therapy in critical ischemia of the lower extremities].

Ultraviolet irradiation (UVI) of the blood, adsorption methods of detoxication, hyperbaric oxygenation (HBO), and antioxidant therapy are pathogenetic and etiotropic methods of treatment in multiple-modality conservative therapy of patients with ischemia of the lower limbs. The EKROMI UVI method is rapid and no less effective then the traditional exposure of the blood after Knott. Enterosorption (ES) may replace hemosorption (HS) in lower limb ischemia with good effect; noteworthy that it is a safer method of detoxication. Addition of antihypoxants and antioxidants (AO) to therapeutic complexes administered before HBO improved the efficacy of this procedure. Use of the UVI-HS(ES)-AO-HBO-HS(ES)-UVI scheme for intensive care for obliterating diseases of the arteries levels the shortcomings of each of the methods of the complex and potentiates the efficacy of each of them.