Daniels T R
Department of Surgery, University of Toronto, St. Michael's Hospital, Ontario, Canada.
Ostomy Wound Manage. 1998 Sep;44(9):76-80, 82, 84; quiz 85-6 passim.
The development of a diabetic neuropathic ulcer is a multifactorial process with an emphasis on mechanical abnormalities. In the absence of vascular compromise, up to 90 percent of neuropathic ulcers will heal with proper ulcer debridement, treatment of infection and relief of weight from the ulcerated area. A thorough understanding of the etiology of a neuropathic ulcer is an essential component in the appropriate management of these patients. Treatment of the diabetic neuropathic ulcer is a multidisciplinary clinical problem and each member of the team has a unique role to play.
糖尿病神经性溃疡的形成是一个多因素过程，重点在于机械性异常。在没有血管受损的情况下，高达90%的神经性溃疡通过适当的溃疡清创、感染治疗以及解除溃疡部位的压力能够愈合。深入了解神经性溃疡的病因是妥善管理这些患者的重要组成部分。糖尿病神经性溃疡的治疗是一个多学科临床问题，团队中的每个成员都发挥着独特作用。
