Generalized purulent necrotic lesions in diabetic foot syndrome
- 作者: Koreiba K.A.1, Krivoshchekov E.P.2, Lukin P.S.3, Minabutdinov A.R.4
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隶属关系:
- Kazan State Medical University
- Samara State Medical University
- Academician Wagner Perm State Medical University
- Russian Railways-Medicine Clinical Hospital
- 期: 卷 36, 编号 3 (2025)
- 页面: 46-50
- 栏目: From Practice
- URL: https://journals.eco-vector.com/0236-3054/article/view/678076
- DOI: https://doi.org/10.29296/25877305-2025-03-08
- ID: 678076
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详细
Objective. To analyze the scheme of complex treatment of patients with diabetic foot syndrome (DFS) developed by the authors, which includes three-stage surgical treatment, as well as infusion and conservative therapy.
Material and methods. The study involved 606 patients with DFS, of which 54.1% had purulent-necrotic lesions of lower limbs tissues against the background of diabetes mellitus, and 2% had complicated syndrome of systemic inflammatory reaction (sepsis).
Results. The treatment results were evaluated in the form of three outcomes: favorable (preservation of the lower limb support function + cessation of clinical manifestations of generalized infection) – in 44.4% of cases, unfavorable (lower limb amputation without preservation of the support function + cessation of clinical manifestations of generalized infection) – in 22.3%, lethal – in 33.3%.
Conclusion. The proposed stage and sequence of treatment of patients with generalized forms of pathology on the background of DFS allow to reduce the frequency of high amputations of lower limbs and improve the quality of life of patients of this category.
全文:
作者简介
K. Koreiba
Kazan State Medical University
Email: walker02@mail.ru
ORCID iD: 0000-0002-0821-2249
SPIN 代码: 3576-6591
Candidate of Medical Sciences
俄罗斯联邦, KazanE. Krivoshchekov
Samara State Medical University
编辑信件的主要联系方式.
Email: walker02@mail.ru
ORCID iD: 0000-0001-9780-7748
SPIN 代码: 6114-5014
MD, Professor
俄罗斯联邦, SamaraP. Lukin
Academician Wagner Perm State Medical University
Email: walker02@mail.ru
SPIN 代码: 3348-3850
Candidate of Medical Sciences
俄罗斯联邦, PermA. Minabutdinov
Russian Railways-Medicine Clinical Hospital
Email: walker02@mail.ru
ORCID iD: 0000-0002-7176-197X
俄罗斯联邦, Kazan
参考
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