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治疗 2 型糖尿病女性术后不愈合胸骨伤口：病例报告。

Treating a non-healing postoperative sternal wound in a woman with type 2 diabetes mellitus: A case report.

机构信息

Post-Operative Intensive Care Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.

Heart Failure Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.

出版信息

Int Wound J. 2019 Jun;16(3):713-715. doi: 10.1111/iwj.13085. Epub 2019 Jan 29.

DOI:10.1111/iwj.13085
PMID:30697947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7948567/
Abstract

One of the leading causes of impaired chronic wound healing is diabetes mellitus because it involves many factors that influence the physiopathology of tissue healing. Therefore, it is strategic to analyse clinical cases of this population. We presented a clinical case report of a 51-year-old female with type 2 diabetes mellitus, presenting a non-healing sternal wound after open heart surgery. Appropriate dressing and assessment contributed to the healing of the sternal wound in 5 weeks.

摘要

导致慢性伤口愈合受损的一个主要原因是糖尿病，因为它涉及到许多影响组织愈合生理学的因素。因此，分析该人群的临床病例具有重要意义。我们报告了一例 51 岁女性 2 型糖尿病患者的临床病例，该患者在心脏直视手术后出现胸骨伤口不愈合。适当的敷料和评估有助于在 5 周内愈合胸骨伤口。

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Int Wound J. 2019 Jun;16(3):713-715. doi: 10.1111/iwj.13085. Epub 2019 Jan 29.
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Front Bioeng Biotechnol. 2022 Nov 25;10:1060026. doi: 10.3389/fbioe.2022.1060026. eCollection 2022.

本文引用的文献

1
Health literacy in type 2 diabetes patients: a systematic review of systematic reviews.2 型糖尿病患者的健康素养：系统评价的系统评价。
Acta Diabetol. 2018 Jan;55(1):1-12. doi: 10.1007/s00592-017-1071-1. Epub 2017 Nov 11.
2
Diabetic foot disease: From the evaluation of the "foot at risk" to the novel diabetic ulcer treatment modalities.糖尿病足病：从“高危足”评估到新型糖尿病溃疡治疗方式
World J Diabetes. 2016 Apr 10;7(7):153-64. doi: 10.4239/wjd.v7.i7.153.
3
Adhesion of meticillin-resistant Staphylococcus aureus to DACC-coated dressings.耐甲氧西林金黄色葡萄球菌对涂有DACC的敷料的黏附作用。
J Wound Care. 2014 Oct;23(10):484, 486-8. doi: 10.12968/jowc.2014.23.10.484.
4
Wound duration and healing rates: cause or effect?伤口持续时间与愈合速度：原因还是结果？
Wound Repair Regen. 2014 Mar-Apr;22(2):143-50. doi: 10.1111/wrr.12149.
5
Management of diabetic foot ulcers.糖尿病足溃疡的管理。
Diabetes Ther. 2012 Nov;3(1):4. doi: 10.1007/s13300-012-0004-9. Epub 2012 Apr 20.
6
Factors affecting wound healing.影响伤口愈合的因素。
J Dent Res. 2010 Mar;89(3):219-29. doi: 10.1177/0022034509359125. Epub 2010 Feb 5.
7
Chronic wound pathogenesis and current treatment strategies: a unifying hypothesis.慢性伤口发病机制与当前治疗策略：一个统一的假说。
Plast Reconstr Surg. 2006 Jun;117(7 Suppl):35S-41S. doi: 10.1097/01.prs.0000225431.63010.1b.
8
Wound healing and its impairment in the diabetic foot.糖尿病足的伤口愈合及其损伤
Lancet. 2005 Nov 12;366(9498):1736-43. doi: 10.1016/S0140-6736(05)67700-8.
9
Wound healing and diabetes mellitus.伤口愈合与糖尿病
Clin Plast Surg. 2003 Jan;30(1):37-45. doi: 10.1016/s0094-1298(02)00066-4.
10
Antibiotic selection for diabetic foot infections: a review.糖尿病足感染的抗生素选择：综述
J Foot Ankle Surg. 2000 Jul-Aug;39(4):253-7. doi: 10.1016/s1067-2516(00)80009-5.