BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 疼痛
  • 水肿(缺血性坏疽)
  • 皮肤褪色

其他诊断因素

  • 足动脉搏动和踝臂指数(缺血性坏疽)减少
  • 轻度发热和发冷(感染性坏疽)

危险因素

  • 糖尿病
  • 动脉粥样硬化(缺血性坏疽)
  • 吸烟(缺血性坏疽)
  • 肾脏疾病

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 全套代谢检查组合
  • 血清乳酸脱氢酶
  • 凝血检查组合
全部具体信息

需要考虑的检查

  • 手术探查和皮肤活检
  • CT 血管造影术
  • 磁共振血管造影术 (MRA)
  • 胸部和腹部 CT
全部具体信息

治疗流程

贡献者

Attending Physician

Assistant Director

Department of Medicine

Hartford Hospital

Hartford

CT

利益冲突披露
JJ declares that he has no competing interests.

Assistant Director

Department of Medicine

Hartford Hospital

Hartford

CT

利益冲突披露
RJG declares that he has no competing interests.

Dr Jason Jacob and Dr Robert J. Gionfriddo would like to gratefully acknowledge Dr William Tennant, Dr Badr Aljabri, Dr Mohammed Al-Omran, Dr Jose Contreras-Ruiz, and Dr Iris Galvan-Martinez, the previous contributors to this monograph. WT, BA, MA, JC, and IG declare that they have no competing interests.

同行评议专家 查看所有

Consultant Vascular Surgeon

Royal Free Hampstead

London

UK

利益冲突披露
MD declares that she has no competing interests.

Vascular Surgeon

Department of Surgery

Walter Reed Army Medical Center

Washington

DC

利益冲突披露
CF declares that he has no competing interests.

使用此内容应接受我们的免责声明