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糖尿病肢端坏疽的综合治疗

Comprehensive treatment for diabetes limb gangrene

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【作者】 李仕明朱西娥史国珍关小宏刘德辉唐兰胡朝平

【Author】 LiShiming; Zhu Hie; Shi Guozheng; et al.(Diabetes Re-search Institute, Airforec General Hospital, PLA, Beij-ins i00036)

【机构】 中国人民解放军空军总医院糖尿病研究中心

【摘要】 应用山莨菪碱改善全身和患肢微循环、局部清创换药及控制糖尿病等综合治疗措施治疗糖尿病肢端坏疽351例,治愈301例(85.7%),好转27例(7.7%)、无效7例(2.0%)、截肢6例(1.7%)、死亡10例(2.9%)。在治疗过程中患者的甲皱微循环明显改善。患肢血管多普勒检查见局部血管内径增宽、血流量增加。作者对糖尿病肢端坏疽的诊断与分型提出了初步标准。

【Abstract】 nisodamine was used to improve general circu-lation and the microcireulation of affected limbs.Measures like local debridement, dressing change, andcontrol of diabetes were applied in 35l patients withdiabetic limb gangrene. Of the 351 patients, 301(85.7 % ) were cured, 27(7.7% ) were improved, 7(2.0% )failed, 6(l.7%) had limb amputated, and 10(2.9%)died. In the treatment, the nail-fold microcireulationwas markedly improved. Doppler scan showed in-creased width and bloodflow of the vessels of theaffacted limbs. The criteria for the classification anddiagnosis of diabetes limb gangrene are suggested.

【关键词】 糖尿病坏疽微循环
【Key words】 Diabetes Limbs GangreneMicrocirculation
  • 【文献出处】 中华医学杂志 ,NATIONAL MEDICAL JOURNAL OF CHINA , 编辑部邮箱 ,1994年06期
  • 【分类号】R587.106
  • 【被引频次】68
  • 【下载频次】153
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