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内因(局部缺血,神经病变)和外因(创伤,感染)单独或综合的反复作用形成了糖尿病足。根本的问题是局部缺血,起自渐进性动脉粥样硬化的局部缺血是导致萎缩、坏疽和最后截肢的主要原因。新诊断的糖尿病人的肢体检查应着重在血管系统:足背和胫后脉搏的力量和弹性,毛细血管的灌注状态以及皮肤和皮下组织的健康状况。必须从矫形学和神经学两方面作出判断,以决定在立位和运动时,双足是否具有完整的功能。医生的整个策略是:
Internal factors (ischemia, neuropathy) and exogenous (trauma, infection) alone or in combination of the formation of the role of diabetic foot. The underlying problem is ischemia, which is the leading cause of atrophy, gangrene, and finally amputation, due to gradual atherosclerosis ischemia. The limbs of newly diagnosed diabetics should focus on the vascular system: the strength and elasticity of the dorsal and posterior tibial pulse, the perfusion of capillaries, and the health of the skin and subcutaneous tissue. Judgments must be made both orthopedically and neurologically to determine whether the biped has full function in both standing and exercise. The doctor’s strategy is: