Sen Soman, Barsun Alura, Romanowski Kathleen, Palmieri Tina, Greenhalgh David
Department of Surgery, Division of Burn Surgery, University of California Davis, Sacramento, CA.
Clin Diabetes. 2019 Oct;37(4):352-356. doi: 10.2337/cd18-0066.
Treatment of lower-extremity burn injuries in adults with diabetes can be complex, and some diabetes-related factors can lead to impaired healing of such wounds, putting patients at risk of amputation. In this retrospective review of adult patients with lower-extremity burns, patients with pre-injury neuropathy and higher A1C levels were more likely to require amputations after their burn injury. The authors conclude that lower-extremity burn injuries in patients with diabetes require close follow-up and possibly referral to a burn specialist for interventions and treatment strategies to offset more serious complications.
糖尿病成人患者下肢烧伤的治疗可能很复杂，一些与糖尿病相关的因素会导致此类伤口愈合受损，使患者面临截肢风险。在这项对成人下肢烧伤患者的回顾性研究中，伤前患有神经病变且糖化血红蛋白（A1C）水平较高的患者在烧伤后更有可能需要截肢。作者得出结论，糖尿病患者的下肢烧伤需要密切随访，可能还需转诊至烧伤专科医生处，以采取干预措施和治疗策略来避免更严重的并发症。
