| Author/Editor | Schara, Karin; Arnež, Zoran Marij; Šolinc, Matjaž; Poredoš, Pavel | |
| Title | Spremembe delnega tlaka kisika pri bolnikih s sladkorno boleznijo pred rekonstruktivnim posegom na stopalu in po njem | |
| Translated title | Changes in partial oxygen pressure in diabetic patients before and after a reconstructive surgery of the foot | |
| Type | članek | |
| Source | Med Razgl | |
| Vol. and No. | Letnik 35, št. Suppl 2 | |
| Publication year | 1996 | |
| Volume | str. 231-5 | |
| Language | slo | |
| Abstract | In patients with diabetes and chronic foot ulcers, ulcers were covered using an appropriate reconstructive method (tree flap skin graft, local flap graft, free transfer of tissue) after measuring partial pressure of oxygen (TcPO2). After the reconstructive surgical procedure, measurements were repeated. In addition to both standard locations (shin, dorsum of the foot), partial pressure of oxygen was also measured on the graft or flap. Our experience has shown that the method for measurement of partial pressure of oxygen before a plastic reconstructive procedure is useful, because it is simple, not dangerous and can be reliably used to prove severe disturbances of arterial circulation in extremities. This method also has a predictive value for the outcome of reconstructive treatment. A trend of reduction of partial pressure of oxygen speaks in favour of the presence of microangiopathy, while higher values of oxygen pressure on free flap grafts confirm the hypothesis that tissue transfer brings a new, better perfusion to the site of the ulcer. | |
| Summary | Bolnikom s sladkorno boleznijo in s kronično razjedo na stopalu smo po meritvah delnega tlaka kisika razjedo krili z ustrezno rekonstruktivno metodo (prosti kožni presadek, lokalni reženj, prosti prenos tkiva). Po rekonstruktivnem posegu smo meritve ponovili. Poleg obeh standardnih točk (golen, hrbtišče stopala) smo izmerili tudi delni tlak kisika na presadku ali režnju. Naše izkušnje kažejo, da je metoda merjenja delnega tlaka kisika pred plastičnim rekonstruktivnim posegom uporabna, ker je enostavna, nenevarna in z njeno pomočjo zanesljivo dokažemo težje motnje arterijske prekrvitve uda. Metoda ima tudi napovedno vrednost za izid rekonstruktivnega zdravljenja. Trend zniževanjadelnega tlaka kisika govori v prid prisotnosti mikroangiopatije. Višje vrednosti tlaka kisika na prostem režnju potrjuje tezo, da prosti prenos tkiva prinaša novo, boljšo prekrvitev na mesto razjede. | |
| Descriptors | DIABETIC FOOT BLOOD GAS MONITORING, TRANSCUTANEOUS OXYGEN |