Caravaggi Carlo, Piaggesi Alberto, Menichetti Francesco
Università Vita Salute San Raffaele Milano, Centro Interdipartimentale per la Cura del Piede Diabetico, Istituto Clinico Città Studi Milano, Italy.
Infez Med. 2009 Sep;17 Suppl 4:77-87.
Infection of diabetic foot represents one of the most serious complications of diabetes. Deep infections of the foot, due to the compartment structure of the foot, can cause severe infective compartment syndromes that pose the diabetic patient to very high risk of major amputation and sepsis. The treatment of choice of this severe infective condition is represented by an aggressive surgical debridement with the aim to drainage pus and to remove infective and non vital tissue. Surgical debridement has to be performed as soon as possible since any delay corresponds to an increase of the risk of major amputation and death for sepsis. In case of concomitant severe peripheral vascular disease any revascularisation procedures, surgical or endoluminal, have to be performer once the local and systemic infection has been controlled.
糖尿病足感染是糖尿病最严重的并发症之一。由于足部的间隔结构,足部深部感染可导致严重的感染性间隔综合征,使糖尿病患者面临极高的大截肢和败血症风险。这种严重感染性疾病的首选治疗方法是积极的外科清创术,目的是引流脓液并清除感染性和无活力组织。必须尽快进行外科清创术,因为任何延迟都意味着大截肢和败血症死亡风险的增加。如果同时存在严重的外周血管疾病,一旦局部和全身感染得到控制,就必须进行任何血管重建手术,无论是外科手术还是腔内手术。