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降低糖尿病截肢率的基本环节:及早科学地诊治糖尿病足溃疡

  

  1. 解放军306医院糖尿病中心 内分泌科,北京 100101
  • 出版日期:2016-09-05 发布日期:2016-08-31
  • 通讯作者: 通信作者:许樟荣,Email: xzr1021@vip.sina.com
  • 作者简介:许樟荣,解放军306医院全军糖尿病诊治中心主任医师,教授、博士研究生导师。兼任国家卫生计生委慢性疾病预防与控制专家委员会委员、国家心血管病专家委员会委员、国家卫生部国家公共卫生服务项目专家组成员、中华医学会糖尿病学分会糖尿病足与周围血管病学组名誉组长,国际糖尿病足工作组顾问、亚洲糖尿病学会监事;《中华内分泌代谢杂志》、《中华糖尿病杂志》等11种期刊编委和《糖尿病之友》杂志主编、《中华老年多器官疾病杂志》副主编、《中华全科医学》副主编。曾任中华医学会糖尿病学分会委员兼副秘书长、内分泌学会委员兼糖尿病学组副组长、《Diabetes,Obesity and Metabolism》编委。获国家科技进步一等奖1项,北京市科学技术一等奖1项、军队医疗成果二等奖3项、军队科技进步二等奖1项,军队科技进步或医疗成果三等奖12项。在国内外杂志发表论文330余篇,主编(译)、参编糖尿病内分泌专业参考书29部。享受国务院颁发的政府特殊津贴。

Key points to reduce diabetic amputation: early diagnosis and scientific treatment of diabetic foot ulcer

  1. Department of Endocrinology Diabetes Center, the 306th Hospital of PLA, Beijing 100101, China
  • Online:2016-09-05 Published:2016-08-31
  • Contact: Corresponding author: Xu Zhangrong, Email: xzr1021@vip.sina.com

摘要: 足溃疡是最常见的糖尿病足病患者的住院原因和截肢原因。及早发现和科学有效地治疗糖尿病足溃疡能够改善其预后和节省医疗费用。本文通过介绍2例糖尿病足病病例,阐述及早地科学地诊治足溃疡能促使其愈合,避免截肢(趾);缩短住院日和减少医疗费用。另外,通过介绍1例并有感染的复杂的糖尿病足病患者的治疗经过,强调医患互相信任、密切配合的重要性以及何种情况的糖尿病足病患者需要及时转送到有糖尿病足病诊治经验的综合性医院进一步诊治。

关键词: 糖尿病足, 足溃疡, 治疗

Abstract: Diabetic foot ulcer is the leading cause of hospitalization for the patients with foot diseases and diabetic amputation. Early diagnosis and scientific treatment are the key factors of improving the prognosis and saving the medical cost for these patients. This paper introduces two cases of diabetic foot ulcers caused by paronychia and emphasizes the importance of early diagnosing and scientific treating diabetic foot ulcer with infection, which promoted the ulcer healing, avoided amputation, but also decreased the hospital days and medical cost. By discussing another case with complicated diabetic foot problems, it is believed that  trust between medical staff and patients is also very important in the diabetic foot prognosis. The conditions for the patients, who need urgent transferring from community medical centers to the tertiary hospitals with the professional and multidisciplinary diabetic foot care team, are also introduced.

Key words: diabetic foot;foot ulcer, therapy