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相关概念视频

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

378
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
378
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
363
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
245
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
350
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Arteries of Lower Limbs01:20

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The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
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下肢截肢后的死亡率:一项葡萄牙研究

Maria Pires1, João Diniz2, Ana Aguiar3

  • 1Physical Medicine and Rehabilitation, Unidade Local de Saúde do Algarve, Faro, PRT.

Cureus
|September 29, 2025
PubMed
概括

下肢截肢 (LEA) 具有较高的长期死亡率,但由于更好的心血管护理,生存率可能正在改善. 血管疾病是LEA后不良结果的主要原因和危险因素.

关键词:
伴随性疾病发生率.下肢截肢是指截肢的情况.死亡率 死亡率葡萄牙的医疗保健康复康复康复康复康复康复类药物 类药物 类药物

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科学领域:

  • 整形外科 整形外科 整形外科
  • 血管外科 血管外科
  • 康复医学 康复医学 康复医学

背景情况:

  • 下肢截肢 (LEA) 仍然是一种常见的手术,主要与糖尿病 (DM) 和外周动脉疾病有关.
  • 虽然历史上与高死亡率有关,但最近的趋势表明,可能是由于心血管疾病管理的进步,大LEA后的生存率可能有所改善.

研究的目的:

  • 量化下肢截肢 (LEA) 后的长期死亡率.
  • 评估伴随性疾病对LEA后的总死亡率的贡献.

主要方法:

  • 一项回顾性,单中心的观察性研究分析了2015年1月至2024年6月期间接受LEA的730名患者的医疗记录.
  • 数据包括患者人口统计,并发症,截肢原因和水平,以及随访期间的死亡率结果.

主要成果:

  • 5年和15年的死亡率分别为20%和26%. 主要原因是血管疾病 (64%) 和创伤 (19%).
  • 与瘤和血管疾病相关的截肢,关节脱节和关节截肢显示出较差的生存率.
  • 糖尿病和高血压被确定为急性后死亡的危险因素.

结论:

  • 这项研究证实了LEA后的高长期死亡率,但表明生存率的潜在改善.
  • 血管疾病是导致LEA后死亡的主要原因和重要贡献者.
  • 预防策略和全面的跨学科护理,包括心血管风险因素管理,对于降低LEA率和改善结果至关重要.