Cuttica Daniel J, Philbin Terrence M
Orthopedic Foot and Ankle Center, Westerville, OH 43082, USA.
Foot Ankle Clin. 2010 Sep;15(3):465-76. doi: 10.1016/j.fcl.2010.03.006.
Diabetes mellitus is a common disease in the world today and its prevalence is increasing. Foot and ankle complications, including infection, are the most common reason for hospital admission in patients with diabetes mellitus in the United States and are commonly encountered by the foot and ankle surgeon. Thorough clinical examination with appropriate use of adjunctive laboratory and imaging studies can allow for early diagnosis and treatment, which can improve patient outcomes. Mild infections can often be treated on an outpatient basis with oral antibiotics and local debridement, whereas more severe infections require hospitalization, intravenous antibiotics, and surgical debridement to fully eradicate the infection. Despite proper treatment, amputation is still common in diabetics.
糖尿病是当今世界的一种常见疾病,其患病率正在上升。足部和踝关节并发症,包括感染,是美国糖尿病患者住院的最常见原因,也是足踝外科医生经常遇到的情况。通过适当使用辅助实验室检查和影像学检查进行全面的临床检查,可以实现早期诊断和治疗,从而改善患者的治疗效果。轻度感染通常可以在门诊用口服抗生素和局部清创术进行治疗,而更严重的感染则需要住院、静脉注射抗生素和手术清创以彻底根除感染。尽管进行了适当的治疗,但截肢在糖尿病患者中仍然很常见。