| 李繁强.综合疗法治疗糖尿病足合并气性坏疽临床体会[J].中国烧伤创疡杂志,2019,(4):245~247. |
| DOI： |
| 中文关键词: 气性坏疽 糖尿病足 产气荚膜梭菌 湿润烧伤膏 负压封闭引流技术 高压氧 |
| 英文关键词:Gas gangrene Diabetic foot Clostridium perfringens MEBO Vacuum sealing drainage High pres⁃ sure oxygen |
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| 中文摘要: |
| 【摘要】 目的 总结分析糖尿病足合并气性坏疽的综合诊治经验? 方法 回顾性分析 2007 年 1 月至 2017 年 12 月太原市第二人民医院收治的 35 例糖尿病足合并气性坏疽患者的病历资料, 在抗感染? 控制血糖? 改善微循环? 营养神经等全身治疗及综合护理的基础上, 局部创面予以湿润烧伤膏外涂? 负压封闭引流等治疗, 总结分析治疗效果? 结果 治疗 28 d 后, 35 例患者中创面一期愈合者 24 例? 因创面愈合不良行截肢治疗者 8 例? 死亡者 3 例, 创面愈合率为 68 57% ? 结论 提高对糖尿病足合并气性坏疽的认识, 明确诊断, 并及时在抗感染? 控制血糖? 改善微循环? 营养神经等全身治疗及综合护理的同时, 采用湿润烧伤膏外涂? 负压封闭引流等方法治疗局部创面, 可在一定程度上降低糖尿病足合并气性坏疽患者的残疾率? 病死率, 值得临床推广应用。 |
| 英文摘要: |
| 【Abstract】 Objective To summarize and analyze the experience of treating diabetic foot complicated with gas gangrene comprehensively. Methods The medical data of 35 diabetic foot patients complicated with gas gangrene admitted into Taiyuan Municipal No 2 People’ s Hospital between January 2007 and December 2017 were retrospectively analyzed. In the 35 patients, the local wounds were treated with the external application of MEBO, vacuum sealing drainage ( VSD) and high pressure oxygen ( HPO), on the basis of providing comprehensive nursing and systemic treatments to the patients such as anti?infection, blood glucose control, microcirculation improvement, nerve nourishment and etc. The therapeutic effect was summarized and analyzed. Results After 28 days of treatment, of the 35 patients, 24 patients realized primary heal? ing, 8 patients underwent amputation due to poor wound healing, 3 patients died, and the wound healing rate was 68 57% . Conclusion Deepening the understanding of diabetic foot complicated with gas gangrene to have a definite diagnosis and promptly treating the local wounds with MEBO externally, VSD, HPO and etc. on the basis of systemic treatments and com? prehensive nursing can decrease the disability and mortality of such patients to some extent. |
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