| 糖尿病肢端坏疽的综合治疗 |
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| 引用本文： | 李仕明,朱西蛾.糖尿病肢端坏疽的综合治疗[J].中华医学杂志,1994,74(6):358-360,T032. |
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| 作者姓名： | 李仕明 朱西蛾 |
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| 作者单位： | 中国人民解放军空军总医院糖尿病研究中心 |
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| 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。
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| 关 键 词： | 糖尿病 肢 坏疽 微循环 治疗 |
Comprehensive treatment for diabetes limb gangrene |
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| LiShiming, Zhu Hie, Shi Guozheng,et al..Comprehensive treatment for diabetes limb gangrene[J].National Medical Journal of China,1994,74(6):358-360,T032. |
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| Authors: | LiShiming Zhu Hie Shi Guozheng |
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| Institution: | LiShiming, Zhu Hie, Shi Guozheng, et
al. |
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| 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. |
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| Keywords: | Diabetes Limbs GangreneMicrocirculation |
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