Ìåäèêî-áèîëîãè÷åñêèé
èíôîðìàöèîííûé ïîðòàë
äëÿ ñïåöèàëèñòîâ
 
Medline.ru

ÑÎÄÅÐÆÀÍÈÅ ÆÓÐÍÀËÀ:
Ôèçèêî-õèìè÷åñêàÿ áèîëîãèÿ

Êëèíè÷åñêàÿ ìåäèöèíà

Ïðîôèëàêòè÷åñêàÿ ìåäèöèíà

Ìåäèêî-áèîëîãè÷åñêèå íàóêè


ÀÐÕÈÂ:

Ôóíäàìåíòàëüíûå èññëåäîâàíèÿ

Îðãàíèçàöèÿ çäðàâîõðàíèåíèÿ

Èñòîðèÿ ìåäèöèíû è áèîëîãèè



Ïîñëåäíèå ïóáëèêàöèè

Ïîèñê ïóáëèêàöèé

Articles

Àðõèâ :  2000 ã.  2001 ã.  2002 ã. 
               2003 ã.  2004 ã.  2005 ã. 
               2006 ã.  2007 ã.  2008 ã. 
               2009 ã.  2010 ã.  2011 ã. 
               2012 ã.  2013 ã.  2014 ã. 
               2015 ã.  2016 ã.  2017 ã. 
               2018 ã.  2019 ã.  2020 ã.  2021 ã.  2022 ã.  2023 ã. 

Ðåäàêöèîííàÿ èíôîðìàöèÿ:
        Îïóáëèêîâàòü ñòàòüþ
        Íàøà ñòàòèñòèêà


 ÐÅÄÀÊÖÈß:
Ãëàâíûé ðåäàêòîð

Çàìåñòèòåëè ãëàâíîãî ðåäàêòîðà

×ëåíû ðåäêîëëåãèè
Ñïåöèàëèçèðîâàííûå ðåäêîëëåãèè


 Ó×ÐÅÄÈÒÅËÈ:
Èíñòèòóò òåîðåòè÷åñêîé è ýêñïåðèìåíòàëüíîé áèîôèçèêè Ðîññèéñêîé àêàäåìèè íàóê.

ÎÎÎ "ÈÖ ÊÎÌÊÎÍ".




Àäðåñ ðåäàêöèè è ðåêâèçèòû

199406, Ñàíêò-Ïåòåðáóðã, óë.Ãàâàíñêàÿ, ä. 49, êîðï.2

ISSN 1999-6314

Ðîññèéñêàÿ ïîèñêîâàÿ ñèñòåìà
Èñêàòü: 


«
Vol. 15, Art. 6 (pp. 43-60)    |    2014       
»

Purulent - necrotic complications as a cause of poor outcomes in patients with critical ischemia after high amputation
Ryazanov A.N., Nohrin S.P., Soroka V.V., Petrivskiy S.V., Belousov E.Y.

Djanelidze Research Institute of Emergency Medicine, Saint Petersburg, Russia.



Brief summary

The article is devoted to the actual problem of necrotic complications due to the high amputation in patients with critical limb ischemia. Development of severe necrotic complications is one of the most common view in the early postoperative period. According to most authors, the main causes of early purulent - necrotic complications are at high amputation - heavy limbs and microcirculatory disturbances as a result, the error in determining the level of amputation, chronic inflammation in the limbs. This fact is accompanied by a sharp reduction in the length and the deteriorating quality of life, which entails greater social burden and rising costs for rehabilitation patients.


Key words

atherosclerosis, critical limb ischemia, amputation of extremity, systemic inflammatory response syndrome, purulent-necrotic complications.





(The article in PDF format. For preview need Adobe Acrobat Reader)



Open article in new window

Reference list

1. Bahritdinov F.Sh. Operacii na bifyrkacii bedrennoi arterii pri okkluzii podkolenno – bercovogo segmenta / F.Sh. Bahritdinov i dr. // Hiryrgiya. – 2001. – ¹6. – S. 34 – 37.


2. Belkov U.A. Revaskylyariziryushaya osteotrepanaciya v kompleksnom hiryrgicheskom lechenii hronicheskoi kriticheskoi ishemii nijnih konechnostei / U.A. Belkov i dr. // Hiryrgiya. Jyrnal im. N.I.Pirogova. – 2004. – ¹9. – S. 14 – 16.


3. Bokeriya L.A. Endovaskylyarnaya hiryrgiya v lechenii bolnih s myltifokalnim aterosklerozom / L.A. Bokeriya i dr. // Angiologiya i sosydistaya hiryrgiya. – 2002. - ¹3 (prilojenie). – S.29 – 30.


4. Bokeriya L. A. Mikrohiryrgiya pri porajenii arterii distalnogo rysla nijnih konechnostei / L. A. Bokeriya, D. D. Spiridonov, K. G. Abalmasov, K. M. Morozov // M.: Izd-vo NCSSH im. D. N. Bakyleva RDMN. – 2004. – 56 s.


5. Byrleva E.P. Pyatiletnie rezyltati rekonstryktivno – vosstanovitelnoi hiryrgii pri kriticheskoi ishemii nijnih konechnostei / E.P. Byrleva, A.A. Fokin // Angiologiya i sosydistaya hiryrgiya. – 2005. – ¹2. – S. 115 – 122.


6. Gavrilenko D. V. Ocenka kachestva jizni y pacientov s kriticheskoi ishemiei nijnih konechnostei / D. V. Gavrilenko, S. I. Skrilev, E.D. Kyzybova // Angiologiya i sosydistaya hiryrgiya. – 2001. – T. 7. – S. 8 – 14.


7. Gavrilenko A.V. Korrelyaciya obektivnih rezyltatov hiryrgicheskogo lecheniya i pokazatelei kachestva jizni y bolnih s HKINK / A.V. Gavrilenko i dr. // Serdechno – sosydistie zabolevaniya. – 2002. – T. 3 – ¹11. – S. 119.


8. Gavrilenko A.B. Sovremennie vozmojnosti i perspektivi hiryrgicheskogo lecheniya bolnih s kriticheskoi ishemiei nijnih konechnostei / A.V. Gavrilenko, S.I. Skrilev, E.A. Kyzybova // Angiologiya i sosydistaya hiryrgiya. – 2002. – T. 8. – ¹ 4. – S. 80 – 86.


9. Gavrilenko A.V. Hiryrgicheskoe lechenie bolnih s kriticheskoi ishemiei nijnih konechnostei / A.V. Gavrilenko, S.I. Skrilev – M. – 2005. – 176 s.


10. Gavrilenko A.V. Metodi hiryrgicheskogo lecheniya bolnih obliteriryushimi zabolevaniyami arterii nijnih konechnostei s porajeniem distalnogo rysla / A.V. Gavrilenko, A.A. Egorova, S.N. Molokopoi // Angiologiya i sosydistaya hiryrgiya. – 2011. – ¹3. – S. 121 – 125.


11. Grin V.K. Perifericheskaya eksimernaya lazernaya angioplastika v lechenii pacientov s segmentarnimi okkluziyami arterii nijnih konechnostei / V.K. Grin i dr. // Serdechno-sosydistie zabolevaniya. – 2002. – T. 3. – ¹11. – S. 114 – 117.


12. Danilova S.G. Voprosi medicinskoi ekspertizi pri posledstviyah hiryrgicheskogo lecheniya hronicheskoi ishemii konechnosti / S.G. Danilova, N.I. Zaharov // Zamestitel glavnogo vracha. – 2013. – ¹ 5. – S.44 – 55


13. Dydanov I. P. Kriticheskaya ishemiya nijnih konechnostei v preklonnom i starcheskom vozraste / I. P. Dydanov, D. V. Karpov, M. U. Kapytin i dr. // Petrozavodsk: Izd-vo PetrGY. – 2009. – 160 s.


14. Zatevahin I.I. Vibor obema i srokov saniryushih vmeshatelstv posle sosydistoi rekonstrykcii y bolnih s hronicheskoi arterialnoi nedostatochnostu nijnei konechnosti IV stadii / Zatevahin I.I. i dr. // Hiryrgiya. – 2005. – ¹12. – S. 13 – 17.


15. Karpenko A.A. Gibridnie operativnie vmeshatelstva y pacientov s hronicheskoi ishemiei nijnih konechnostei / A.A. Karpenko, V.B. Starodybcev, M.A. Chernyavskii i dr. // Patologiya krovoobrasheniya i kardiohiryrgiya. – 2012. – ¹ 1. – S. 43 – 46.


16. Kaumov T.H. Lechenie gnoinih oslojnenii posle visokih ampytacii nijnei konechnosti y bolnih saharnim diabetom / T.H. Kaumov, J.A. Narchaev, R.K. Rahmanov // Vestnik hiryrgii. – 2002. – ¹2. – S. 90 – 91.


17. Kislov E. E. Sravnitelnaya ocenka metodov prognozirovaniya effektivnosti poyasnichnoi simpatektomii y pacientov s kriticheskoi ishemiei nijnih konechnostei / E. E. Kislov, S. D. Panfilov, T. N. Dedikova i dr. // Angiologiya i sosydistaya hiryrgiya. – 2009. – T. 15. – ¹ 1. – S. 138 – 141.


18. Kovalenko V.I Novie aspekti primeneniya preparata Alprostan / V.I. Kovalenko // Materiali 13-i Mejdynarodnoi Konferencii «Sovremennie metodi lecheniya v sosydistoi hiryrgii i flebologii». – Yaroslavl. – 2002.


19. Konstantinov B.A. Vozmojnosti i perspektivi lecheniya kriticheskoi ishemii s ispolzovaniem genno – injenernih tehnologii / B.A. Konstantinov i dr. // Angiologiya i sosydistaya hiryrgiya. – 2003. – T. 8. – ¹4. – S. 25 – 32.


20. Kohan E.P. Izbrannie lekcii po angiologii / E.P. Kohan, I.K. Zavarina // M.: Nayka. – 2000. – 383 s.


21. Kohan E.P. Poyasnichnaya simpatektomiya pri obliteriryushem ateroskleroze arterii nijnih konechnostei i vozrast pacientov / E.P. Kohan i dr. // Hiryrgiya. – 2000. – ¹11. – S.41 – 43.


22. Krotovskii G.S. Taktika lecheniya pacientov s kriticheskoi ishemiei nijnih konechnostei / G.S. Krotovskii, A.M. Zydin // M. – 2005. – 160 s.


23. Kyznecov M.R. Predoperacionnaya podgotovka mikrocirkylyatornogo rysla y bolnih s obliteriryushim aterosklerozom nijnih konechnostei // M.R. Kyznecov // Angiologiya i sosydistaya hiryrgiya. – 2005. – ¹1. – S. 19 – 22.


24. Lazarenko V.A. Lechenie kriticheskoi ishemii nijnih konechnostei s ispolzovaniem serotonina / V.A. Lazarenko i dr. // Angiologiya i sosydistaya hiryrgiya. – 2003. – T. 9. – ¹2. – S. 26 – 29.


25. Lemenev V.L. Sochetanie angioplastiki i protyajennoi endarterektomii v lechenii kriticheskoi ishemii nijnih konechnostei / V.L. Lemenev i dr. // Serdechno-sosydistie zabolevaniya. – 2002. – T. 3. – ¹11. – S. 204.


26. Maleev V.V. Osobennosti kliniki, diagnostiki i lecheniya osobo opasnih infekcii na sovremennom etape / V.V. Maleev // Vestn. Ros. AMN. – 2002. – ¹ 10. – S. 45 – 47.


27. Nacionalnie rekomendacii po vedeniu pacientov s zabolevaniyami arterii nijnih konechnostei. – M.: 2013. - 74 s.


28. Narchaev J.A. Lechenie gnoinih oslojnenii posle visokih ampytacii nijnei konechnosti y bolnih saharnim diabetom / J.A. Narchaev i dr. // Vestnik hiryrgii. – 2002. – ¹ 2. – S. 90 – 91.


29. Obrazcov A.V. Patogeneticheskie aspekti operacii revaskylyariziryushei osteotrepanacii / A.V. Obrazcov i dr. // Angiologiya i sosydistaya hiryrgiya. – 2000. – T. 6. – ¹1. – S. 18 – 21.


30. Pat. 2233178 Rossiiskaya Federaciya, MPK A61M1/34. «Sposob lecheniya bolnih s kriticheskoi ishemiei nijnih konechnostei» / zayavitel i patentoobladatel Kyznecov S.I., Byrkova N.V., Eismont U.A., Nohrin S.P. i dr. – ¹ 2002112155/14; zayavl. 20.01.2004; opyb. 27.07.2004. – 3 s.


31. Pat. 2323680 Rossiiskaya Federaciya, MPK A61B5/01, G01N33/48. «Sposob prognozirovaniya klinicheskih ishodov y bolnih s kriticheskoi ishemiei nijnih konechnostei» / Soroka V.V., Nohrin S.P., Ahynov Sh.O., Andreichyk K.A.; zayavitel i patentoobladatel Gosydarstvennoe ychrejdenie Sankt-Peterbyrgskii naychno-issledovatelskii instityt skoroi pomoshi im. I.I. Djanelidze. – ¹ 2006143126/14; zayavl. 05.12.2006; opyb. 10.05.2008, Bul. ¹13. – 5 s.


32. Pokrovskii A.B. Arterializaciya venoznogo krovotoka stopi v spasenii konechnosti ot ampytacii y bolnih s obliteriryushim trombangiitom s okkluziei arterii goleni i stopi pri kriticheskoi ishemii / A.V. Pokrovskii i dr. // Angiologiya i sosydistaya hiryrgiya. – 2000. – T.6. – ¹1. – S. 86 – 99.


33. Pokrovskii A.V. Diagnostika i lechenie lecheniya pacientov s kriticheskoi ishemiei nijnih konechnostei: Rossiiskii Konsensys / sost.: A.V. Pokrovskii i dr. // M. – 2002. – 40 s.


34. Pokrovskii A. V. Klinicheskaya angiologiya: rykovodstvo dlya vrachei / A. V. Pokrovskii. – M.: Medicina, 2004. – T. 2.


35. Pokrovskii A.B. «Alprostan» v lechenii bolnih s kriticheskoi ishemiei nijnih konechnostei / A.B. Pokrovskii i dr. // Angiologiya i sosydistaya hiryrgiya. 2005. – ¹1. – S.7 – 10.


36. Pokrovskii A.B. Rekonstryktivnie operacii na arteriyah bercovo – stopnogo segmenta pri kriticheskoi ishemii / A.B. Pokrovskii i dr. // Bulleten NCSSH im. A.N. Bakyleva RAMN. – 2005. – ¹5. – S.114.


37. Pokrovskii A.V. Sostoyanie sosydistoi hiryrgii v Rossii v 2008 gody/ A.V. Pokrovskii. – M. – 2009. - 86 s.


38. Pylin A.G. Hiryrgicheskoe lechenie bolnih pri distalnom porajenii arterialnogo rysla nijnih konechnostei: Avtoref. diss. dokt. med.nayk / M. – 2000. – 43 s.


39. Rebrova O.U. Statisticheskii analiz medicinskih dannih. Primenenie paketa prikladnih programm Statistica / O.U. Rebrova. – M.: Media Sfera, 2003. – 321 s.


40. Savelev B.C. Kriticheskaya ishemiya kak sledstvie neadekvatnogo lecheniya bolnih hronicheskimi obliteriryushimi zabolevaniyami arterii nijnih konechnostei-na ambylatornom etape / B.C. Savelev // Angiologiya i sosydistaya hiryrgiya. – 2004. – ¹ 1. – S. 7 – 11.


41. Samodai V.G. Otdalennie rezyltati hiryrgicheskogo lecheniya kriticheskoi ishemii nijnih konechnostei s pomoshu aytotransplantacii razlichnimi tkanyami / V.G. Samodai i dr. // Angiologiya i sosydistaya hiryrgiya. – 2003. – T. 9. – ¹1. – S. 109 – 113.


42. Stepanov N.G. Kachestvo jizni pacienta i ee prodoljitelnost posle ampytacii / N.G. Stepanov // Angiologiya i sosydistaya hiryrgiya. – 2004. –


¹4. – S.13 – 16.


43. Fokin A.A. Hiryrgicheskaya korrekciya myltifokalnih proyavlenii ateroskleroza y pacientov, perenesshih ranee visokyu ampytaciu nijnei konechnosti / A.A. Fokin i dr. // Bulleten NCSSH im. A.N. Bakyleva. – 2007. – T. 8. – ¹ 6. – S.141.


44. Cvetkov V.O. Obektivizaciya vibora yrovnya ampytacii konechnosti y


pacientov s hronicheskoi kriticheskoi ishemiei / V.O. Cvetkov, G.D. Gasinov// Mat. I Mejd. kongressa «Rani i ranevie infekcii». – M. – 2012. – S.368 – 369.


45. Cvetkov V.O. Sravnitelnaya informativnost obektivnih metodov ocenki jiznesposobnosti mishechnoi tkani v ysloviyah hronicheskoi ishemii / V.O. Cvetkov, A.V. Filippov, G.D. Gasinov // Mat. I Mejd. kongressa «Rani i ranevie infekcii». – M. – 2012. – S. 369 – 370.


46. Chyr H.H. Etiologiya, patogenez, klassifikaciya i hiryrgicheskoe lechenie sindroma diabeticheskoi stopi / H.H. Chyr i dr. // Hiryrgiya. – 2003. – ¹4. – S.42 – 46.


47. Abou-Zamzam A. Jr. Prospective analysis of critical limb ischemia: factors leading to major primary amputation versus revascularization / A.Jr.Abou-Zamzam, N.R. Gomez, A. Molkara et al. // Ann. Vasc. Surg. – 2007. – Vol. 21. – ¹ 4. – P. 458 – 463.


48. Ascher E. Lower Extremity Revascularization without Preoperative Contrast Arteriography: Experience with Duplex Ultrasound Arterial Mapping in 485 Cases» / E. Ascher, A. Hingorani, N. Markevich et al. // Vascular Surgery. – 2003. – Vol. 24. – P. 443 – 445.


49. Baars E. Lower leg amputation due to critical limb ischaemia: morbidity, mortality and rehabilitation potential / E. Baars et al. // Ned. Tijdschr. Geneeskd. – 2007. – Vol. 151. – ¹49. – P. 2751 – 2752.


50. Beard J. Treatment of chronic lower limb ischaemia / J.D. Beard, P.A. Gaines // Vascular and endovascular surgery. London-Harcourt. – 2001. – P. 55 – 59.


51. Bradbury A. W. Final results of the BASIL trial (Bypass versus angioplasty in severe ischemia of the leg) / A. W. Bradbury, D.J. Adam, J. Bell et al. // Journal of vascular surgery. 2010. – Vol. 51. – P. 51.


52. Chachkhiani I. Benefit of assessment of cytokines in inflammatory postoperative complications (review) // SbLek. – 2003. – Vol. 104. – ¹4. – P. 303-312.


53. Deneuville M. Survival and quality of life after arterial revascularization or major amputation for critical leg ischemia in Guadeloupe / M. Deneuville, A. Perrouillet // Ann. Vase. Surg. – 2006. – Vol. 20. – ¹ 6. – P. 753 – 760.


54. Denzel C. Critical limb ischemia / C. Denzel, W. Lang // Chirurg. – 2008. – Vol.79. – ¹5. – P. 495 – 506.


55. Eskelinen E. Major amputation incidence decreases both in non-diabetic and in diabetic patients in Helsinki / E. Eskelinen et al. // Scandinavian Journal of Surgery. –2006. – Vol. 95. – P. 185 – 189.


56. Gray B.H. Complex endovascular treatment for CLI in poor candidates: a pilot study / B.H. Gray et al. // J. Endovasc. Ther. – 2002. – V.9. – P. 599 – 604.


57. Heikkinen M. Lower limb amputations: differences between the genders and long-term survival / M. Heikkinen et al. //Prosthet. Orthop. Int. – 2007. – Vol.31. – ¹ 3. – P. 277 – 286.


58. Jaccard Y. Influence of secondary infection on amputation in chronic critical limb ischemia / Y. Jaccard et. al. // Eur. J. Vasc. Endovasc. Surg. – 2007. – Vol. 5. – ¹33. – P. 605 – 609.


59. Kummer O. Does infection affect amputation rate in chronic critical leg ischemia? / O. Kummer et al. // Vasa. – 2003. – Vol. 1. – ¹ 32. – P. 18 – 21.


60. Kuz\\\'min V.V. Early postoperative systemic inflammatory response in patients with lower extremity atherosclerotic gangrene / V.V. Kuz\\\'min, E. Gusev, L.N. Iurchenko // Anesteziol. Reanimatol. – 2008. – May-Jun;(3):32-35.


61. Liu C.W. Arteriosclerosis obliterates of lower extremities: indications and strategies of surgical therapy / C.W. Liu, W. Ye // Zhongguo Yi Xue Ke Xue Yuan Xue Bao. – 2007. – Vol. 29. – ¹1. – P. 12 – 15.


62. Liu S.S. Effect of postoperative analgesia on major postoperative complications: a systematic update of the evidence / S.S. Liu, C.L. Wu // Anesth. Analg. – 2007. – Vol. 104. – ¹ 3. – P. 689 – 702.


63. Marston W. Natural history of limbs with arterial insufficiency and chronic ulceration treated without revascularization / W. Marston et al. // J. Vase. Surg. – 2006. – Vol. 44. – ¹1. – P. 108 – 114.


64. McIntosh J. Antibiotic prophylaxis for the prevention of infection after major limb amputation / J. McIntosh et.al. // Eur. J .Vasc. Endovasc. Surg. – 2009. – Vol. 6. – ¹ 37. – P. 696 – 703.


65. Melillo E. Major and minor amputation rates and lower critical limb ischemia: the epidemiological data of western Tuscany / E. Melillo, M. Nuti, L. Bongiorni et al. //Ital. Heart. J. Suppl. – 2004. Vol. 10. – P. 794 – 805.


66. Poredos P. University medical centre, determination of amputation level in ischaemic limbs using tcP02 measurement / P. Poredos, S. Rakovec, B. Guzic-Salobir // Vasa. – 2005. – Vol. 34. ¹2. – P. 108 – 112.


67. Sandnes D.K. Survival after lower-extremity amputation / D.K. Sandnes et al. // J. Am. Coll. Surg. – 2004. – ¹199. – P. 394 – 402.


68. Sottiurai V. Extensive revascularization or primary amputation: which patients with critical limb ischemia should not be revascularized? / V. Sottiurai, J. White// Semin. Vase. Surg. – 2007. – Vol. 20. – ¹1. – P. 68 – 72.


69. Stephan D. Non – surgical treatment of critical limb ischemia / D. Stephan et al. // Ann. Cardiol. Angiol. – Paris. – 2007. – Vol. 56. – ¹2. – P. 70 – 73.


70. Suumpio B.E. Foot ulcers / B.E. Suumpio // N. Engl. J. Med. – 2000. – Vol. 343. – ¹11. – P. 787 – 793.


71. Wan Hazmy C.H. Functional outcome after major lower extremity amputation: a survey on lower extremity amputees / C.H. Wan Hazmy, W.Y. Chia, T.S. Fong, P. Ganendra // Med. J. Malaysia. – 2006. – Vol. 61. – Suppl. A. – P. 3 – 9.


72. Westerband A. Vein adaptation to arterialization in an experimental model / A. Westerband et al. // J. Vasc. Surg. – 2001. – Vol. 33. – ¹ 3. – P. 561 – 569.


73. Yip V.S. An analysis of risk factors associated with failure of below knee amputations / V.S. Yip, N.B. Teo, R. Johnstone et al. // World J. Surg. – 2006. – Vol. 30. – ¹ 6. – P. 1081 – 1087.


74. Yonclas P. Prosthetic management of the partial foot amputee / P.P. Yonclas, C.J. O\\\'donnell // Clin. Podiatr. Med. Surg. – 2005. – Vol. 22. ¹. 3. – P. 485 – 502.



Ñâèäåòåëüñòâî î ðåãèñòðàöèè ñåòåâîãî ýëåêòðîííîãî íàó÷íîãî èçäàíèÿ N 077 îò 29.11.2006
Æóðíàë îñíîâàí 16 íîÿáðÿ 2000ã.
Âûäàíî Ìèíèñòåðñòâîì ÐÔ ïî äåëàì ïå÷àòè, òåëåðàäèîâåùàíèÿ è ñðåäñòâ ìàññîâûõ êîììóíèêàöèé
(c) Ïåðåïå÷àòêà ìàòåðèàëîâ ñàéòà Medline.Ru âîçìîæíà òîëüêî ñ ïèñüìåííîãî ðàçðåøåíèÿ ðåäàêöèè

Ðàçìåùåíèå ðåêëàìû

Rambler's Top100