Donohue S J
Vascular Unit, John Radcliffe Hospital, Oxford Radcliffe Hospitals Trust.
Br J Nurs. 1997;6(18):1048-52. doi: 10.12968/bjon.1997.6.18.1048.
This is the second of four articles on lower limb amputation. The first article (Vol 6(17): 970-7) discussed the indications for amputation and briefly outlined the treatment options that may be tried before the amputation stage is reached. This second article examines the factors that need to be addressed once the decision to amputate has been made. It stresses the importance of preparing the patient and his/her family both psychologically and physiologically for the operation. The techniques and rationale for selecting the optimum level of amputation are then discussed. Finally, the specific levels of lower limb amputation are outlined. The next article in this series will explore the nurse's role in preparing the patient for an amputation, and the final article will address the issues raised when a patient decides that death is preferable to living as an amputee.
这是关于下肢截肢的四篇文章中的第二篇。第一篇文章（第6卷第17期：970 - 977页）讨论了截肢的适应症，并简要概述了在进入截肢阶段之前可能尝试的治疗方案。第二篇文章探讨了一旦做出截肢决定后需要考虑的因素。它强调了在心理和生理上让患者及其家人为手术做好准备的重要性。接着讨论了选择最佳截肢平面的技术和依据。最后，概述了下肢截肢的具体平面。本系列的下一篇文章将探讨护士在帮助患者为截肢做准备方面的作用，最后一篇文章将探讨当患者认为与其作为截肢者生存不如选择死亡时所引发的问题。
