糖尿病引发的足溃疡怎么办？及时采取外科干预很关键

tangniaobingdefabinglvzaibuduanzengzhang，bingdadaoquanqiuliuxingdechengdu，tangniaobingzukuiyangshitangniaobingzuichangjian、zuiyanzhongdebingfazheng。zhouweishenjingbingbian、zhouweidongmaijibinghechuangshangshidaozhizubukuiyangfashengdezhuyaoyinsu，erchuangmianyuhebuliangyoukeyinqimanxingchuangmiandefasheng，changdaozhijiezhi。suiranduoxuekezhiliaoyichengweiguangfandegongshi，danjishicaiquyouxiaodewaikeganyu，keyikongzhichuangmianganran，cujinchuangmianyuhe，jianshaojiezhifashenglv。

tangniaobingzukuiyangyueyouyibanfashengzaizudibiaomian，lingyibanzaizudeqitabuwei，qizhuyaoweixielaiziyuzhouweishenjingbingbian、waizhoudongmaijibing、yundongshenjingbingbianxiangguandezubujixing，yijiqingweidezubuchuangshang、ganranhegusuiyan。yinqitangniaobingzukuiyangdeweixianyinsuyou：xingbie（nanxing）、tangniaobingchixushijianchaoguo10nian、gaolinghuanzhe、gaotizhongzhishuheqitabingfazheng，rutangniaobingshiwangmobingbian、zhouweishenjingbingbian、zhouweixueguanbingbian、tanghuaxuehongdanbaishuipinggao、zubujixing、zudiyaligao、ganranhebushidangdezuziwobaojianxiguan。zheixieweixianyinsukeyidaozhizubupifuhe（huo）pixiazuzhidejubusunshang，daozhizubukuiyangdefasheng，zengjialejiezhihesiwangdefengxian。

jieruzhiliaoshigaishanxiazhixueyundejiaohaofangfazhiyi。yinqichuangshangxiao，liaoxiaoqueqie，shuhouhuanzhehuifukuai、bingfazhengshaodengyoudian，zaitangniaobingzudezhiliaofangshizhongjuyouzhongyaodediwei。youqishiduiyunianlingjiaoda，shentitiaojianjiaochadehuanzhe。jieruzhiliaotongguojubuchuancijishu，yunyongteshudedaoguandaosiheqiunang，jiangbingbianduanxueguanjinxingkuozhang，zhiruhuobuzhiruzhijia，yidadaozhongxinkaitongxiazhaihuobisaidexueguandemude，congergaishanzhitidexuegong。

tangniaobingzudechuangmianzhiliao：

1、qiangdiaokangshengsuzhiliaodeyuanzeshijiyuxijunpeiyangheyaowuminganshiyanbaogao。

2、kendinghanyinfuliaohefufangcaoyaozhijizaizhiliaotangniaobingzubuchuangmianfangmianyoulianghaodexiaoguo。lixiangdefuliaoyingbaochishuifenpingheng，danbaimeigeli，shengzhangyinziciji，kangjunhuodongxing、touyangxinghecujinnenglizirongqingchuangshu，youzhuyurouyazuzhihezaishangpihuaguocheng。ciwai，tadezuoyongshijianyingzugouzhang，nengchixushifangyaowujinxingzhiliao，xiaolvgao。jinguanshengwugongchengpifujuyouyoushi，danbunengdanduyongyuzhiliaotangniaobingzukuiyang。

3、gaoyayangzhiliaokegaishanchuangmianzuzhiqueyang、zengqiangxueliuguanzhu、jianqingshuizhong、xiadiaoyanxingyinzi，cujinchengxianweixibaozengzhi、jiaoyuandanbaishengchenghexueguanshengcheng。ciwai，gaoyayangzhiliaohaikecijigusuizaoxueganxibaodongyuanbingjiangqizhaomudaopifuchuangmianzhong。

4、diancijishiyizhongyouxiaodetangniaobingzukuiyangfuzhuzhiliaofangfa，zheizhongliaofashiyizhonganquan、lianjia、jiandandeganyucuoshi，keyigaishantangniaobingzukuiyanghuanzhedechuangmianyuhe。

5、waikeqingchuangzaitangniaobingzukuiyangzhiliaozhongzuiweiyouxiao。qingchuangdezhuyaomudeshibamanxingchuangmianbianchengjixingchuangmian。ruguoxindehuaisizuzhijixuxingcheng，yingjinkenengduodizhongfushoushuqingchuang。shoushufangshidexuanze：jinkenengyouxianxuanzejiandan、jifasunshangxiaodeshoushufangan，yijiandanfangfajiejuefuzawenti。

6、waizhouquexueshitangniaobingzukuiyangdebinglitezhengzhiyi，shiyingxiangshengwugongchengpifuyizhideguanjianyinsu。yinci，shoushuxueyunzhongjianhejianyayijichuangmianchuangdezhunbeibeirenweishishengwugongchengpifuyingyongdebiyaoqianti。

7，fuyachuangmianzhiliaokeyixiaochushuizhonghemanxingshenchu，jianshaoxijundingzhi，cujinxinshengxueguandexingcheng，zengjiaxibaozengzhi，tongguoshijiajixieligaishanchuangmianyanghe。fuyachuangmianzhiliaozuoweiyizhonganquanyouxiaodefuzhuzhiliaotangniaobingzuchuangmiandefangfayibeizhongduosuijiduizhaoshiyansuotuijian。

8、shengzhangyinzizaitangniaobingzukuiyangzhiliaozhongyouyidingzuoyong，ruxuexiaobanyuanxingshengzhangyinzi、suanxingchengxianweixibaoshengzhangyinzi、jianxingchengxianweixibaoshengzhangyinzi、xueguanneipishengzhangyinzi、yidaosuyangshengzhangyinzi-1、yidaosuyangshengzhangyinzi-2、biaopishengzhangyinzi、zhuanhuashengzhangyinzi-β。

tangniaobingzukuiyanghebingnanyuhechuangmianhenchangjian，erqiejingchangdaozhixiazhijiezhi，caiqulixingde、duoxuekezhiliaoyichengweiguangfandegongshi。tangniaobingzuchuangmianchulichulejubufuzhuzhiliaowai，haiyingbaokuojieruzhiliao、xueguanzhongjian、qingchuangheshoushuzhiliaodeng，jishikongzhichuangmianganran，cujinchuangmianyuhe，jiangditangniaobingzukuiyanggaofabinglvhegaofengxianxingyijiyouciyinqideyanzhongbingfazheng。

本文由上海电力医院烧伤整形外科主任医师朱维平、汪妍进行科学性把关

“达医晓护”供稿