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[糖尿病肢体坏疽的综合治疗]

[Comprehensive treatment for diabetes limb gangrene].

作者信息

Li S M, Zhu X, Shi G Z

机构信息

Diabetes Research Institute, Airforce General Hospital, PLA, Beijing.

出版信息

Zhonghua Yi Xue Za Zhi. 1994 Jun;74(6):358-60, 391.

PMID:7994646
Abstract

Anisodamine was used to improve general circulation and the microcirculation of affected limbs. Measures like local debridement, dressing change, and control of diabetes were applied in 351 patients with diabetic limb gangrene. Of the 351 patients, 301 (85.7%) were cured, 27(7.7%) were improved, 7(2.0%) failed, 6(1.7%) had limb amputated, and 10(2.9%) died. In the treatment, the nail-fold microcirculation was markedly improved. Doppler scan showed increased width and bloodflow of the vessels of the affected limbs. The criteria for the classification and diagnosis of diabetes limb gangrene are suggested.

摘要

山莨菪碱用于改善全身循环及患肢微循环。对351例糖尿病肢体坏疽患者采取了局部清创、换药及控制糖尿病等措施。在这351例患者中,301例(85.7%)治愈,27例(7.7%)好转,7例(2.0%)治疗失败,6例(1.7%)截肢,10例(2.9%)死亡。治疗过程中,甲襞微循环明显改善。多普勒扫描显示患肢血管增宽、血流增加。提出了糖尿病肢体坏疽的分类及诊断标准。

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