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[糖尿病足坏死性病变的当前诊断与治疗管理]

[Current management in the diagnosis and treatment of necrotic lesions of the diabetic foot].

作者信息

Bruni B, Bruni B K, Arolfo E, D'Adda A, Castellazzi R, Macario B, Fiorio E

出版信息

Ann Osp Maria Vittoria Torino. 1977 Jan-Jun;20(1-6):21-42.

PMID:616199
Abstract

A simplified classification for clinical pratical purposes of the diabetic foot necrotic lesions is proposed. Two types are considered both possibly with infection: 1. The angiopathic foot, as a manifestation of the diabetic macro- and microangiopathy. 2. The angioneuropathic foot, as an association of the preminent diabetic neuropathy with diabetic microangiopathy and macroangiopathy. This classification proved suitable to 63 personal observations during the last 7 years. Diagnosis and treatement, planned by a diabetological-orthopedic cooperation, are specified for the two headings. The measure of systolic peripheral blood pressure by means of the ultrasonic device Doplette 10 Danica is introduced.

摘要

提出了一种用于糖尿病足坏死病变临床实际目的的简化分类方法。考虑两种类型,两者都可能伴有感染:1. 血管病变足,作为糖尿病大血管和微血管病变的一种表现。2. 血管神经病变足,作为突出的糖尿病神经病变与糖尿病微血管病变和大血管病变的联合表现。这种分类方法在过去7年的63例个人观察中被证明是适用的。针对这两个类别详细说明了由糖尿病学 - 矫形外科学合作制定的诊断和治疗方法。介绍了使用超声设备Doplette 10 Danica测量外周收缩压的方法。

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