PECULIARITIES OF THE COURSE OF PYONECROTIC PROCESSES IN DIABETES-MELLITUS

Experience in the treatment of 214 patients with diabetic angiopathy complicated by pyonecrotic processes is generalized. Adequate correction of diabetes mellitus, improvement of microcirculation, dietotherapy, and sanitation of the pyonecrotic foci are the main trends in the complex of therapeutic measures. Hemosorption was applied successfully for detoxifixation in 24 patients. Prolonged intraarterial therapy was also conducted with a IIIIB-I agent dosing apparatus. Necrosis of the soft tissues and gangrene of the toes or foot were managed by thoroUgh excision of the necrotic tissues and exarticulation or amputation of the toes and metatarsaLs, and, in exceptional cases, amputation of the limb through the thigh was resorted to. With such compLex therapy the number of amputations through the middle and upper third of the thigh was reduced to 18.3 %.