Authors
Sakharov S.P.1, Bekshokov K.K.2, Kerimov A.A.2, Malchevskiy V.A.1, 3, Karpovich N.I.4
1 Tyumen State Medical University, Tyumen
2 Burdenko Main Military Clinical Hospital, Moscow
3 Tyumen Scientific Center of the Siberian Branch of the Russian Academy of Science, Tyumen
4 Peoples’ Friendship University of Russia named after Patrice Lumumba, Moscow
Abstract
The aim of the work – to inform a wide range of medical specialists about modern views on their diagnosis and treatment of patients with foot pathology resulting from the combined effects of cold and wet environmental conditions.
Materials and research methods. In the review on the basis of 28 special domestic and foreign literature sources the modern view on pathogenesis, diagnosis, treatment and prevention of Nonfreezing cold injury (NFCI) is presented. Its current clinical classifications by degrees of severity and stages of the course of the pathological process are given.
Conclusion. It is revealed that despite the general great progress in medicine in the last decades, no significant improvement of NFCI treatment results has been achieved. The reason for this is the fragmentary study of pathophysiological features of the occurrence and development of this pathological process. As a consequence, the absence of schemes of effective complex pathogenetically based treatment and prevention of the disease. The problem of treatment of foot pathology resulting from the combined effect of cold and wet environmental conditions is still waiting for specialists to find a solution.
Keywords: trench foot, immersion foot, non-freezing cold injury, NFCI.
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