患者,女,83岁。2016年6月13日因血糖升高9年,左足破溃0.5年门诊入院,入院诊断为糖尿病足4级、Ⅰ型糖尿病、脑梗死后遗症、下肢动脉硬化闭塞症。患者否认高血压等病史,否认药物、食物过敏史。查体:T 36.2℃,BP 160/80 mm Hg,双肺呼吸音粗,心脏听诊阴性,双下肢无水肿,双侧足背动脉、胫后动脉搏动(-),左足第1趾跖关节背侧可见一直径约2 cm破溃 Patient, female, 83 years old. June 13, 2016 due to elevated blood glucose for 9 years, left foot ulceration 0.5 hospital outpatient admissions, diagnosis of diabetic foot grade 4, type 1 diabetes, cerebral infarction sequelae, arteriosclerosis obliterans lower extremity. Patients deny hypertension and other medical history, denied drugs, food allergy history. Physical examination: T 36.2 ° C, BP ​​160/80 mm Hg, coarse breath sounds in both lungs, negative auscultation of the heart, edema of both lower extremities, bilateral dorsalis pedis artery, pulsatile posterior tibial artery (-), Side of a diameter of about 2 cm rupture