老年糖尿病足感染：一期截肢与“保足手术”。病例报告。
Diabetic foot infections in the elderly: primary amputation versus 'foot-sparing surgery'. A case report.
作者信息
Leon Luis R, Psalms Shemuel B, Walters Jodi
机构信息
Vascular Surgery Section, Southern Arizona Veteran Affairs Health Care System (SAVAHCS), Tucson, AZ 85723, USA.
出版信息
Int Wound J. 2007 Dec;4(4):315-21. doi: 10.1111/j.1742-481X.2007.00348.x.
Abstract
Renal failure diabetic patients who present with lower extremity gangrene represent one of the most difficult problems encountered in a typical vascular practice. We report the hospital course and management of a 74-year-old male patient with such comorbidities, affected by a non healing ulcer that progressed into a large plantar abscess. Our case unfortunately mirrors a common method of evaluation and therapy of patients with such comorbidities and sets up the stage for a very controversial subject.
摘要
患有下肢坏疽的糖尿病肾衰竭患者是典型血管科诊疗中遇到的最棘手问题之一。我们报告了一名患有这些合并症的74岁男性患者的住院病程及治疗情况，该患者有一个不愈合的溃疡，进而发展成一个巨大的足底脓肿。不幸的是，我们的病例反映了此类合并症患者常见的评估和治疗方法，并引出了一个极具争议的话题。
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