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[糖尿病脓性坏死并发症患者的综合治疗]

[Complex treatment of patients with purulent-necrotic complications of diabetes mellitus].

作者信息

Dmytriiev B I, Demydov V M, Kotik Iu M

出版信息

Klin Khir. 2001 Aug(8):13-4.

PMID:11794096
Abstract

Biochemical, immunological investigations were performed in dynamics for identification of pathogenic microorganisms in the wound in 375 patients with complicated diabetes mellitus. Content of the APUD-system hormones was determined using radioimmune method. Conservative treatment included administration of insulinum pro injectionibus, plasm, albumin, rheopolyglycine, vitamins, antihypoxants, antibiotics, metronidazole, immunotherapy, dalargin, sandostatinum, D-phenylalanine. In preoperative and postoperative periods were widely applied measures of organism detoxication, physiotherapeutic methods. Original method of xenoskin was applied for closure of the wound and ulcerative defect. Application of proposed method of treatment had permitted to improve its result.

摘要

对375例糖尿病并发症患者的伤口进行了生物化学和免疫学检查,以鉴定其中的致病微生物。采用放射免疫法测定APUD系统激素的含量。保守治疗包括注射胰岛素、血浆、白蛋白、低分子右旋糖酐、维生素、抗缺氧药、抗生素、甲硝唑、免疫疗法、强痛定、善得定、D-苯丙氨酸。在术前和术后广泛应用机体解毒措施和物理治疗方法。采用异种皮的原始方法闭合伤口和溃疡缺损。应用所提出的治疗方法可改善治疗效果。

相似文献

1
[Complex treatment of patients with purulent-necrotic complications of diabetes mellitus].[糖尿病脓性坏死并发症患者的综合治疗]
Klin Khir. 2001 Aug(8):13-4.
2
[Combined treatment of purulent complications of diabetes mellitus].[糖尿病化脓性并发症的联合治疗]
Klin Khir. 1998(7):17-8.
3
[Changes of the carbohydrate metabolism during combined surgical treatment in patients with diabetes mellitus complicated by necrotic-inflammatory foot injury].[糖尿病合并坏死性炎症性足部损伤患者联合手术治疗期间碳水化合物代谢的变化]
Klin Khir. 2002 Nov-Dec(11-12):68-9.
4
[Treatment of purulent and necrotic lesions of the lower extremities in patients with diabetes mellitus].[糖尿病患者下肢化脓性及坏死性病变的治疗]
Klin Khir (1962). 1993(9-10):37-40.
5
[Treatment of purulent lesions in patients with diabetes mellitus].[糖尿病患者脓性病变的治疗]
Klin Khir. 1997(11-12):26-7.
6
[Vast purulent necrotic lesions in patients with diabetes mellitus].[糖尿病患者的广泛脓性坏死性病变]
Klin Khir. 2001 Aug(8):28-30.
7
[Surgical treatment of purulent necrotic complications in patients with diabetic foot syndrome].[糖尿病足综合征患者化脓性坏死并发症的外科治疗]
Klin Khir. 2001 Aug(8):10-2.
8
[Causes of unsatisfactory outcome in patients with diabetes mellitus complicated by necrotic inflammation of the foot].[糖尿病合并足部坏死性炎症患者预后不佳的原因]
Klin Khir. 1999(3):16-9.
9
[Clinico-radiological estimation of the foot changes in patients with diabetes mellitus].[糖尿病患者足部变化的临床放射学评估]
Klin Khir. 2001 Aug(8):37-9.
10
[Clinical course of purulent and necrotic complications in diabetes mellitus].[糖尿病中化脓性和坏死性并发症的临床病程]
Khirurgiia (Mosk). 1993 May(5):28-31.