[Oxygen pressure of the capillary blood as an objective criterion for predicting the course of the wound process after surgery in patients with diabetes mellitus].
Percutaneous measurement of the capillary blood PO2 was used in 20 normal subjects, 20 patients with diabetes mellitus without purulent pathology, and 34 patients with diabetes mellitus and purulent-inflammatory soft tissues diseases. In patients with diabetes mellitus without purulent pathology, oxygen supply of the skin was reduced by 33%, and in patients with purulent inflammatory diseases--by 55% when compared with that of the normal subjects. After debridement of a purulent wound with drainage and placing the sutures in low PO2 indices at a distance of 1 cm from the wound edge, microcirculation should be restored at day 2-3 after the operation by means of heparin electrophoresis through the perforated drainage tube in the closed wound. This ensures primary healing of 93.8% of the wounds.
Goriunov
A I
AI
D000328:Adult; D000368:Aged; D001785:Blood Gas Monitoring, Transcutaneous; D002196:Capillaries; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000097:blood; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012874:Skin Diseases, Infectious / Q000097:blood / Q000150:complications / Q000601:surgery*; D014945:Wound Healing; D014946:Wound Infection / Q000097:blood / Q000150:complications / Q000601:surgery*
Napriazhenie kisloroda kapilliarnoĭ krovi kak ob' ektivnyĭ kriteriĭ prognozirovaniia techeniia ranevogo protsessa posle operatsii u bol'nykh sakharnym diabetom.