糖尿病患者神经性足部的皮下注射针头。
Hypodermic needles in the neuropathic foot of a patient with diabetes.
作者信息
Woolfrey P G, Kirby R L
机构信息
Division of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, NS.
出版信息
CMAJ. 1998 Mar 24;158(6):765-7.
A 54-year-old woman with insulin-dependent diabetes mellitus, diabetic neuropathy, neuropathic arthropathy of the feet and a plantar ulcer underwent plain radiography, which showed 2 clipped-off hypodermic needles, of which she had been unaware, in the soft tissue of one foot. This previously unreported complication is clinically instructive in that it demonstrates the importance of counselling patients about the protection of insensitive extremities. This case also has public health implications, suggesting as it does that the still-common practice of breaking hypodermic needles before disposal should be strongly discouraged.
一名54岁的女性，患有胰岛素依赖型糖尿病、糖尿病神经病变、足部神经性关节病和足底溃疡，接受了X线平片检查，结果显示在一只脚的软组织中有2根她之前未意识到的皮下注射针头已折断。这种先前未报道过的并发症具有临床指导意义，因为它表明了向患者宣传保护感觉迟钝肢体的重要性。该病例还具有公共卫生意义，因为它表明应强烈劝阻在丢弃皮下注射针头前折断针头这种仍然普遍存在的做法。
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