紧急程度低
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糖尿病足是下肢深部组织的感染,溃疡或破坏。
主要原因是糖尿病对神经(神经病)产生的进行性损害和动脉血液循环不良(血管病变)。
它们可能有肿胀,变色(红色,蓝色,灰色或白色皮肤),红色条纹,热量或寒冷增加,无疼痛或轻微疼痛的病变,有或没有出院的伤口,袜子上的袜子,刺痛或畸形,如果有感染,他们可以发烧,发冷,震颤,发红,分泌和改变血糖水平及其所有并发症。
根据临床病史和详细的体格检查进行诊断。
将根据伤口的原因和伤口的特征来集中治疗(医疗,手术)。
- Amy C Weintrob, MD, Daniel J Sexton, MD. Clinical manifestations, diagnosis, and management of diabetic infections of the lower extremities. UpToDate. Jun 21, 2016.
- David G Armstrong, DPM, MD, PhD, Richard J de Asla, MD, David K McCulloch, MD. Management of diabetic foot ulcers. UpToDate. Jan 27, 2017.
- American Diabetes Association: Statistics about diabetes: diabetes from the national diabetes statistics report, 2014 (released 06/10/14). http://www.diabetes.org/diabetes-basics/statistics/ (Accessed on September 02, 2015).
- Zhan LX, Branco BC, Armstrong DG, Mills JL Sr. The Society for Vascular Surgery lower extremity threatened limb classification system based on Wound, Ischemia, and foot Infection (WIfI) correlates with risk of major amputation and time to wound healing. J Vasc Surg 2015; 61:939.
- Powers A. Diabetes Mellitus: complicaciones. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 2422:2430.
医生 Elvira Moreno
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