Chen Y, Wu C J, Duan Z X, Deng W Q
Department of Endocrinology, Central Hospital Affiliated to Chongqing University, Chongqing Diabetic Podiatry Research Center, Chongqing400014, China.
Zhonghua Yi Xue Za Zhi. 2024 Dec 17;104(47):4279-4283. doi: 10.3760/cma.j.cn112137-20241014-02333.
Diabetic foot is a highly complex and severe complication of diabetes, posing significant challenges in treatment and imposing substantial medical costs. Wound healing stands as the primary concern for both healthcare professionals and patients in the management of diabetic foot. Individuals with severe diabetic foot often suffer from multiple organ failure and acute lesions. The comprehensive medical management plays a vital role in limb preservation and prolong survival. Drawing upon the team's practical experience and cutting-edge advancements, this article aims to summarize the common medical complications(cardiovascular disease, kidney disease, severe infections, malnutrition) and treatment experience of patients with severe diabetic foot. The ultimate goal is to enhance clinicians' ability of comprehensive diagnosis and treatment for diabetic foot.
糖尿病足是糖尿病一种高度复杂且严重的并发症，在治疗方面带来巨大挑战并产生高昂的医疗费用。伤口愈合是糖尿病足治疗中医疗专业人员和患者共同关注的首要问题。重度糖尿病足患者常伴有多器官功能衰竭和急性病变。综合医疗管理在保肢和延长生存期方面起着至关重要的作用。本文借鉴团队的实践经验和前沿进展，旨在总结重度糖尿病足患者常见的医学并发症（心血管疾病、肾脏疾病、严重感染、营养不良）及治疗经验。最终目标是提高临床医生对糖尿病足的综合诊治能力。
