Cavanagh P R, Ulbrecht J S, Caputo G M
Pennsylvania State University Diabetes Foot Clinic, University Park, PA 16802, USA.
Ostomy Wound Manage. 1998 Mar;44(3A Suppl):6S-12S; discussion 13S.
Wounds on the feet of diabetic patients are often labeled as "non-healing." This article discusses the basis for and the dangers of such a classification. The evidence suggests that if the foot has an adequate vascular supply and no significant infection, a plantar wound that does not heal is the result of poor treatment and/or poor compliance. Wounds that do not heal despite optimal treatment and compliance are extremely rare and need to be referred to the appropriate specialist for care.
糖尿病患者足部伤口常被贴上“不愈合”的标签。本文讨论了这种分类的依据及风险。有证据表明，如果足部有充足的血管供应且无严重感染，足底伤口不愈合是治疗不当和/或依从性差的结果。尽管进行了最佳治疗且患者依从性良好，但伤口仍不愈合的情况极为罕见，需要转诊给合适的专科医生进行治疗。
