打印本页
糖尿病足的诊断(接上篇)
字号
+
–
18 10月 2019
1
2
3
4
5
Author :
伤口世界
原创:
胡海涛
负压引流与创面修复
世界卫生组织(WHO)定义:糖尿病足是指糖尿病患者由于合并神经病变及各种不同程度末梢血管病变而导致下肢感染、溃疡形成和(或)深部组织的破坏。
三个必须条件,缺一不可:
糖尿病患者;
合并神经病变及不同程度末梢血管病变;
下肢感染、溃疡形成或深部组织坏死;
该患者疼痛明显、足背动脉博动好,不符合糖尿病足诊断标准2、3,所以排除糖尿病足诊断。伤口内见到痛风石、CT看到切口区域关节周围痛风结节较多,按痛风结节诊治方案处理,伤口愈合。
糖尿病足鉴别诊断:
糖尿病患者合并痛风结节破溃、下肢动脉硬化闭塞、血栓闭塞性脉管炎等。
最后提醒:
遇到糖尿病患者足溃疡时,第一步是诊断,第二步是鉴别诊断,尤其当治疗效果不好时,得再次思考这两个问题。
1318 Views
伤口世界
电子邮件地址
该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。
Latest from 伤口世界
Deep learning techniques for imaging diagnosis of renal cell carcinoma: current and emerging trends
Medical treatment of acquired uterine arteriovenous fistulae related to pregnancy: 2 case reports and literature review
Virtual reality as a non-medical tool in the treatment of anxiety, pain, and perception of time in children in the maintenance phase of acute lymphoblastic leukemia treatment
Virtual reality as a non-medical tool in the treatment of anxiety, pain, and perception of time in children in the maintenance phase of acute lymphoblastic leukemia treatment
Research progress of electrochemical oxidation and self-action of electric field for medical wastewater treatment