Robson M C, Edstrom L E
Plast Reconstr Surg. 1977 Apr;59(4):551-4.
Four cases are presented of the conservative treatment of the diabetic foot. Using the known principles of wound healing and of management of soft tissue infection, the obviously necrotic or infected tissue was debrided and the wounds were managed conservatively. The use of such debriding adjuncts as a pulsating jet lavage, topical antibacterials, and biological dressings, has controlled infections--so that the foot wounds could be closed then with sking grafts or local flaps. This resulted in the salvage of these feet, with maintenance of biped ambulation.
本文介绍了4例糖尿病足的保守治疗病例。运用伤口愈合及软组织感染处理的已知原则，清除明显坏死或感染的组织，并对伤口进行保守处理。使用诸如脉动喷射冲洗、局部抗菌药物及生物敷料等清创辅助手段控制了感染，从而能够采用植皮或局部皮瓣封闭足部伤口。这使得这些足部得以挽救，患者能够维持双下肢行走。
