中华内分泌代谢杂志
中華內分泌代謝雜誌
중화내분비대사잡지
Chinese Journal of Endocrinology and Metabolism
2015年
9期
819-823
,共5页
陈金安%陈寅晨%孙新娟%王伟%罗宁%张洁%王爱萍
陳金安%陳寅晨%孫新娟%王偉%囉寧%張潔%王愛萍
진금안%진인신%손신연%왕위%라저%장길%왕애평
缺血神经性%糖尿病足%足溃疡
缺血神經性%糖尿病足%足潰瘍
결혈신경성%당뇨병족%족궤양
Neuroischemic%Diabetic foot%Foot ulcers
缺血神经性糖尿病足溃疡(NDFU)表现为下肢感染、深组织溃疡、神经病变和不同程度的外周血管病变,患者常伴有高龄、病程长、心血管疾病等多种危险因素,治疗难度大,预后取决于合并症的严重程度、组织侵犯的范围和外周血管疾病。本文报道1例高龄伴严重并发症的NDUF 患者的临床诊治过程,试图阐明和规范其临床处理流程。
缺血神經性糖尿病足潰瘍(NDFU)錶現為下肢感染、深組織潰瘍、神經病變和不同程度的外週血管病變,患者常伴有高齡、病程長、心血管疾病等多種危險因素,治療難度大,預後取決于閤併癥的嚴重程度、組織侵犯的範圍和外週血管疾病。本文報道1例高齡伴嚴重併髮癥的NDUF 患者的臨床診治過程,試圖闡明和規範其臨床處理流程。
결혈신경성당뇨병족궤양(NDFU)표현위하지감염、심조직궤양、신경병변화불동정도적외주혈관병변,환자상반유고령、병정장、심혈관질병등다충위험인소,치료난도대,예후취결우합병증적엄중정도、조직침범적범위화외주혈관질병。본문보도1례고령반엄중병발증적NDUF 환자적림상진치과정,시도천명화규범기림상처리류정。
[Summary] Neuroischemic diabetic foot ulcer ( NDFU) is characterized by infection, ulceration of deep tissues, neurological abnormalities, and various degrees of peripheral vascular disease in the lower limbs. The patients often have multiple risk factors such as older, longer duration, cardiovascular disease. The treatment is very difficult. The prognosis depends on the severity of complications, tissue range of infections, and the peripheral vascular disease. In this article, the treatment process of an old inpatient with NDFU and severe complications was reviewed and to propose a standard pathway for its management.