尚伟锋,胡蜀红.糖尿病上肢动脉病变并指端坏疽1例及文献复习[J].内科急危重症杂志,2015,21(5):
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| DOI： |
| 中文关键词: 糖尿病 上肢动脉病变,指端坏疽 诊断 治疗 |
| 英文关键词:diabetic upper limb artery disease limb gangrene diagnosis treatment |
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| 中文摘要: |
| 目的：探讨糖尿病上肢动脉病变的临床表现、诊断、治疗及预后。方法：对我院1例糖尿病合并指端坏疽患者的临床资料进行回顾性分析,并对相关文献进行复习。结果：患者,29岁,男,以“左手食指及中指指端坏疽2月余,发现血糖增高1月余”为主要表现,入院行口服糖耐量试验(OGTT)、血管B超及左侧上肢的CTA,诊断2型糖尿病合并上肢远端动脉粥样硬化及指端坏疽,给予改善循环,积极抗感染及强化控制血糖治疗,患者坏疽有所改善。结论：糖尿病上肢动脉病变少见,及早发现、及早诊治,可有助于避免指端坏疽,截肢及挽救患者生命。 |
| 英文摘要: |
| Objective To explore the clinical manifestation, diagnosis, treatment and prognosis of diabetic upper limb artery disease and gangrene. Methods The clinical data of one case of diabetic upper limb artery disease combined with digital gangrene was analyzed retrospectively, and the related literature was reviewed. Results The patient was a 29-year-old man with the complaint of dry gangrene of the left index finger and middle finger and elevated blood glucose.Given the results of oral glucose tolerance test (OGTT),vascular ultrasound and the CTA of the left upper limb,a diagnosis of diabetic upper limb artery disease and gangrene could be made. He was treated with the drug of improving the microcirculation, intravenous combination antibiotics and insulin regimen. Finally, his symptoms improved. Conclusions Early detection of diabetic upper limb artery disease and gangrene helps in risk factor modification, which may avoid amputation and save lives. |
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