Diabetic foot syndrome

被引:0
|
作者
Lawall, H. [1 ]
Reike, H. [2 ]
机构
[1] Heidelberg Univ, Akad Lehrkrankenhaus, SRH Klinikum Karlsbad Langensteinbach, Abt Angiol Diabetol, D-76307 Karlsbad, Germany
[2] Mariannen Hosp, Werl, Germany
来源
INTERNIST | 2009年 / 50卷 / 08期
关键词
Diabetic foot syndrome; Peripheral arterial disease; Amputation; Peripheral neuropathy; Diabetic complications; HIGH PREVALENCE; OSTEOMYELITIS; DISEASE; REVASCULARIZATION; AMPUTATIONS; ANGIOPLASTY; FREQUENCY; ISCHEMIA;
D O I
10.1007/s00108-009-2366-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ulceration of the foot in diabetes is common and disabling and frequently leads to lower extremity amputation. Mortality and morbidity is still high and healed ulcers often recur. The pathogenesis of diabetic foot syndrome is complex, clinical presentation variable and management requires early expert assessment. Interventions should be directed at infection, peripheral ischemia and pressure relief caused by peripheral neuropathy and limited joint mobility. Treatment includes wound clean-up, stage-oriented local wound management, and the appropriate treatment of bacterial infection. Useful preventive measures are training of diabetics, regular foot care and the provision of appropriate footwear.
引用
收藏
页码:936 / +
页数:8
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