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糖尿病足溃疡:第二部分。管理。

Diabetic foot ulcers: Part II. Management.

机构信息

Department of Medicine (Dermatology), University of Toronto, Toronto, Ontario, Canada; Wound Care Centre, Women's College Hospital, Toronto, Ontario, Canada.

Department of Medicine (Dermatology), University of Toronto, Toronto, Ontario, Canada; Department of Medicine (Dermatology) and Public Health, University of Toronto, Toronto, Ontario, Canada; Wound Care Centre, Women's College Hospital, Toronto, Ontario, Canada.

出版信息

J Am Acad Dermatol. 2014 Jan;70(1):21.e1-24; quiz 45-6. doi: 10.1016/j.jaad.2013.07.048.

Abstract

The management of diabetic foot ulcers can be optimized by using an interdisciplinary team approach addressing the correctable risk factors (ie, poor vascular supply, infection control and treatment, and plantar pressure redistribution) along with optimizing local wound care. Dermatologists can initiate diabetic foot care. The first step is recognizing that a loss of skin integrity (ie, a callus, blister, or ulcer) considerably increases the risk of preventable amputations. A holistic approach to wound assessment is required. Early detection and effective management of these ulcers can reduce complications, including preventable amputations and possible mortality.

摘要

通过采用多学科团队方法来处理可纠正的风险因素(即,血供不良、感染控制和治疗以及足底压力再分布),并优化局部伤口护理,可以优化糖尿病足溃疡的管理。皮肤科医生可以启动糖尿病足护理。第一步是认识到皮肤完整性的丧失(即胼胝、水疱或溃疡)会极大地增加可预防截肢的风险。需要对伤口进行全面评估。早期发现和有效管理这些溃疡可以减少并发症,包括可预防的截肢和可能的死亡。

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