Lobmann R
Klinik für Endokrinologie, Diabetologie und Geriatrie, Klinikum Stuttgart-Bürgerhospital, Tunzhofer Strasse 14-16, Stuttgart, Germany.
Internist (Berl). 2011 May;52(5):539-48. doi: 10.1007/s00108-010-2733-z.
Diabetic foot ulceration is a serious complication of diabetes mellitus worldwide and the most common cause of hospitalization in diabetic patients. The etiology of diabetic foot ulcerations is complex due to their multifactorial nature. The pathophysiologies of diabetic foot ulceration with polyneuropathy and angiopathy as well as wound-healing impairment in patients with diabetes mellitus are important. Proper adherence to standard treatment strategies and interdisciplinary cooperation can reduce the--compared with European data--noticeably higher rates of major amputations in Germany.
糖尿病足溃疡是全球糖尿病的一种严重并发症,也是糖尿病患者住院的最常见原因。由于其多因素性质,糖尿病足溃疡的病因复杂。糖尿病足溃疡伴多发性神经病变和血管病变的病理生理学以及糖尿病患者的伤口愈合受损情况很重要。与欧洲数据相比,德国严格遵循标准治疗策略并开展跨学科合作可显著降低较高的大截肢率。