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首页> 外文期刊>The international journal of lower extremity wounds >Retrospective Cohort Analysis of Pedal Procedures in the Thrombocytopenic Patient
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Retrospective Cohort Analysis of Pedal Procedures in the Thrombocytopenic Patient

机译：血小板胁迫患者踏板程序的回顾性队列分析

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摘要

Thrombocytopenia is an important medical condition to understand prior to performing procedures in the foot and ankle. We have set forth to highlight factors a physician should take into consideration before performing procedures in the thrombocytopenic patient. A retrospective cohort analysis at a large academic institution was undertaken utilizing a cohort discovery tool to discover incidence and management strategies for patients with foot-related conditions that require in-office procedures. We demonstrate that a full history and physical are important to guide treatment along with complete blood count testing prior to intervention. We included all patients at the institution that underwent a foot and ankle procedure in-office with podiatric surgery over 10 years where thrombocytopenia was demonstrable via complete blood count within 3 months of the procedure. Patients’ charts were reviewed for 1 year following podiatric intervention and outcomes were recorded. The cohort reveals that patients with thrombocytopenia have many advanced comorbidities but performing procedures in this cohort is safe. Complications from procedures included erythrocyte transfusion, ulcer recurrence, need for formal surgical intervention, infection, falls, and death. We then provide a brief discussion about the etiology and management options available for thrombocytopenia.
机译：血小板减少症是在脚和脚踝中进行程序之前了解的重要疾病。我们已经阐述了突出因素，医生应在血小板减薄患者中的程序进行之前考虑。在大型学术机构的回顾性队列分析利用队列发现工具来发现需要办公手术的患者患者的发病率和管理策略。我们证明，在干预之前，全面的历史和物理对于引导治疗以及完整的血统测试。我们将所有患者包括在进行脚踝手术的机构中，在血小心手术中接受过10年，其中血小板减少在手术的3个月内通过完整的血液计数证明血小板减少。患者的图表审查了百年富集干预后1年，记录了结果。队列表明，血小板减少症的患者有许多先进的合并症，但在这种队列中表演程序是安全的。手术中的并发症包括红细胞输血，溃疡复发，需要正式手术干预，感染，下降和死亡。然后，我们简要讨论了血小板减少症可用于的病因和管理选择。

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