RESUMEN
Experience of treatment of disorders of peripheral blood circulation in 120 patients with diabetes mellitus was summarized. Conservative treatment, conducted in 85 patients, included insulinization, preparations of sulfanilurea and glibenclamids, antibacterial therapy (beta-lactams, aminoglycosides, metronidazole) during 7-10 days, acidum acetylsalicylicum, trental, solcoseryl, vitamins. Amputation of lower extremity was done 35 patients, in 15 of them--on the hip level. Good result was noted in the treatment of diabetic foot with pronounced trophic changes in the third stage of ischemia when fraxiparine was applied locally.
Asunto(s)
Antiinfecciosos/uso terapéutico , Pie Diabético/tratamiento farmacológico , Pie Diabético/cirugía , Anciano , Anciano de 80 o más Años , Amputación Quirúrgica/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Índice de Severidad de la Enfermedad , Servicio de Cirugía en HospitalRESUMEN
The authors treated acute arterial obstruction in 190 patients. A complex of diagnostic and therapeutic measures, including the establishment of indications for operative treatment, development of tactics, use of ++physico-technical methods (ultrasound study, rheography, electrocardiography, ++roentgeno-contrast angiography, ultra-violet blood irradiation, electromyostimulation) was developed. A positive result of treatment was obtained in 78.9% of patients, incidence of an amputation performance was 13.7% lethality--12.6%.
Asunto(s)
Enfermedades de la Aorta/cirugía , Arteriosclerosis Obliterante/cirugía , Endarterectomía/métodos , Arteria Femoral/cirugía , Arteria Ilíaca/cirugía , Pierna/irrigación sanguínea , Arteria Poplítea/cirugía , Enfermedad Aguda , Anciano , Aorta Abdominal/cirugía , Enfermedades de la Aorta/diagnóstico , Arteriosclerosis Obliterante/diagnóstico , Femenino , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Vena Ilíaca , Sistema Linfático/patología , Trombosis/patología , Enfermedad Aguda , Animales , Perros , Miembro PosteriorAsunto(s)
Tromboflebitis/complicaciones , Úlcera Varicosa/etiología , Várices/complicaciones , Adulto , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Síndrome , Tromboflebitis/patología , Tromboflebitis/cirugía , Úlcera Varicosa/patología , Úlcera Varicosa/cirugía , Várices/patología , Várices/cirugíaRESUMEN
The clinical, phlebographic, and hemodynamic signs of the postthrombophlebitic syndrome were studied. In 99.3% of patients the disease was found to be attended with edema of the extremities, in 100%--with the pain syndrome, in 64.2%--with pigmentation, in 59.7%--with tissue induration, and in 53.6% of patients--with trophic ulcers. A study of microcirculation revealed a significant increase of the time of tissue resorption. The venous pressure proved to be increased; the degree of its normalization is an objective test for the success of the operation. The volume blood flow in the affected extremity was 1.8 times that in the normal extremity. Contrast X-ray examination of the veins showed phlebographic signs of the disease. Reconstructive operations on the deep veins were performed in 109 patients; 85.4% had good remote results. Linton's operation was performed on 29 patients, Cockett's operation--on 17, and Felder's operation--on 8 patients; good remote results were noted in 75.7% of cases. For determining the tactics of the treatment and its prognostication, a classification of the postthrombophlebitic syndrome is suggested.