Blagui I, Mokline A, Fraj H, Messad A A
Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunisie.
Service de Réanimation des Brulés, Centre de Traumatologie et des Grands Brûlés, Tunis, Tunisie.
Ann Burns Fire Disasters. 2024 Jun 30;37(2):97-100. eCollection 2024 Jun.
Diabetes causes peripheral neuropathy with loss of sensitivity of feet to pain, predisposing diabetic patients to a high risk of severe burns. Our retrospective study aimed to look at epidemiological, clinical, therapeutic and outcome characteristics of feet burns occurring in patients with diabetes, hospitalized in the burn trauma center of Tunis over 4 years (from 2019 to 2022). We included 34 patients, among which 9 had only feet burns. Their mean age was 60 years (range: 41-83 years), with male predominance (sex ratio = 1.83). A quarter of patients (n=9) were on oral antidiabetic drugs (OADs) and more than half (n= 18) were at the stage of degenerative complications. At admission, blood glucose level was higher than 10 mmol/l in 73% of patients. TBSA was 19%. Twenty-two patients had deep feet burns, among which 5 patients underwent aponerrotomy for deep, circular burns. Amputation was done in 15 patients: toes (n=9), one limb (n=3) and two limbs (n=3). Duration of ICU stay was 18.3 days and mortality was 20.58%.
糖尿病会导致周围神经病变，使足部对疼痛的敏感度降低，从而使糖尿病患者面临严重烧伤的高风险。我们的回顾性研究旨在观察在突尼斯烧伤创伤中心住院4年（2019年至2022年）的糖尿病患者足部烧伤的流行病学、临床、治疗及预后特征。我们纳入了34例患者，其中9例仅有足部烧伤。他们的平均年龄为60岁（范围：41 - 83岁），男性居多（性别比 = 1.83）。四分之一的患者（n = 9）服用口服抗糖尿病药物（OADs），超过一半（n = 18）处于退行性并发症阶段。入院时，73%的患者血糖水平高于10 mmol/l。烧伤总面积为19%。22例患者有深部足部烧伤，其中5例因深部环形烧伤接受了腱膜切开术。15例患者接受了截肢手术：脚趾（n = 9）、单肢（n = 3）和双肢（n = 3）。重症监护病房（ICU）住院时间为18.3天，死亡率为20.58%。
