[Diagnosis and treatment of chronic critical ischemia of the lower extremity tissues]

The results of examination, surgical treatment and prophylaxis of infection complications were analyzed in 219 patients, suffering abdominal aorta and peripheral arteries obliterating atherosclerosis in a stage of critical ischemia of the lower extremities tissues (CILE), of them in 22 (10.1%) diabetes mellitus was diagnosed. There was established the importance of studying of regional blood flow and microcirculation state. Complex treatment of abdominal aorta and peripheral arteries obliterating atherosclerosis, including surgical intervention and infusion therapy, using prostaglandin E1, had permitted to eliminate CILE more than in 91% patients. The necessity of complex prophylaxis of purulent complications in reconstructive operations, using antibiotics and immunocorrectors, was proved.