PREVENTION AND MANAGEMENT OF POSTOPERATIVE COMPLICATIONS OF LOWER EXTREMITY AMPUTATION FOR ARTERIOSCLEROSIS OBLITERANS
- VernacularTitle:下肢动脉硬化闭塞症截肢术后并发症的防治
- Author:
Xiang FENG
;
Zaiping JING
- Publication Type:Journal Article
- Keywords:
arteriosclerosis obliterans;
amputation;
postoperative complications
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the prevention and management of postoperative complications of lower extremity amputation for arterial occlusive diseases, a retrospective analysis was made in 18 lower extremity amputations which were performed on 14 patients from Jan 1996 to Dec 1999. The mean age of the patients was 72. Before opeoation,78 6% of the patients were complicated with coronary artery disease, 69.9% with high blood pressure and 78.6% with diabetes mellitus, 43.4% with vascular reconstruction history. 6 above the knee amputations, 7 below the knee amputations, 1 hemiterpene amputation and 4 amputations of the toes were performed. Postoperative myocardial infarction occarred in 2 cases, gangrene of the stump in 3 cases and infection in 1 case, the total incidence rate of complication was 33%. The results showed that lower extremity amputation is not a complex operation, but preoperative estimation of the level of amputation and postoperative intensive care can reduce the postoperative rate of complication.
