Neuropathic diabetic foot ulcers
Neuropathic diabetic foot ulcers
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DOI：
10.1056/nejmcp032966
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发表时间：
2004-07-01
影响因子：
158.5
通讯作者：
Vileikyte, L
中科院分区：
文献类型：
--
作者：
Boulton, AJM;Kirsner, RS;Vileikyte, L
一位患有2型糖尿病的58岁男性患者左脚足底无症状溃疡，4个月后仍未愈合。溃疡长2厘米，宽1厘米，周围长满了第一跖骨头下的骨痂。神经学检查显示双侧小腿中水平以下的触觉丧失、针刺和振动，脚踝反射消失；足部脉搏正常。应该如何评估和治疗这位患者？
A 58-year-old man with type 2 diabetes mellitus has an asymptomatic plantar ulcer on the left foot that remains unhealed after four months. The ulcer measures 2 by 1 cm and is surrounded by callus under the first metatarsal head. Neurologic examination reveals loss of sensation of touch, pinprick, and vibration below the midcalf level bilaterally and the absence of ankle reflexes; the foot pulses are normal. How should this patient be evaluated and treated?