Diabetes elderly prescriptions are soaking in feet.

Correspondent Liu Shanshan

The 88 -year -olds did not care about small wounds on their feet. After soaking their feet, ulcers and pus appeared after soaking their feet, facing the danger of amputation. Fortunately, after the active treatment of diabetic feet and chronic wound multidisciplinary collaboration (MDT) diagnosis and treatment team in Wuhan Central Hospital, the old man's feet finally kept.

Dad Chen, who lives in Suizhou (Hua surname) is 88 years old, has been suffering from diabetes for more than 20 years. Her blood sugar has not been very ideal, and has renal failure. He needs to be dialysis twice a week. Two months ago, he found that there was a small break on his left foot, which did not hurt or itch. Listening to the villagers said that soaking their feet with herbs can heal. Therefore, he soaked for half a month in a row, but the wounds on his feet not only did not heal, but ulcerated pus, accompanied by pain symptoms. Because Dad Chen is old and has a lot of basic diseases, after surrendering many hospitals, vascular surgery, orthopedics and other departments, the doctor informed that the left foot may not be able to keep it. Facing the danger of amputation, Chen Dad could not accept it for a while. I hope to be able to be able Hold his left foot, and finally he came to the Department of Endocrinology of Wuhan Central Hospital for treatment.

Diabetes Foot and Chronic Symptoms Multi -disciplinary Collaboration (MDT) expert team for the vascular group for patients to perform interventional therapy for patients (Photo Conferry at Wuhan Central Hospital)

Duan Weizheng, deputy chief physician of the Department of Internal Dyxye, checked the wound for Dad Chen, and found that his left foot had severely ulcerated and dark, and a deep sinus had formed. Arterial occlusion. Due to the severe infection and ischemia in the patient's foot, there is a high risk of amputation, and the psychological burden of the elderly is very heavy. If the blood vessel reconstruction cannot be performed as soon as possible, the blood circulation in the feet is not possible, and the wound is cleaned up, and the condition will worsen further. Considering that the patient's foot is serious and old, with multiple organ diseases such as cardiopathy, the technical forces of a single department cannot solve the problem. The diabetic foot and chronic wound multidisciplinary collaboration (MDT) diagnosis and treatment team of the diabetic foot and chronic wounds of Wuhan Central Hospital shall jointly formulate personalized treatment plans for patients, open blood vessels, and then complete the debridement. At the same time, pay close attention to the patient Renal function, heart function and other conditions.

After improving the relevant examination, the expert team of the MDT vascular group experts composed of experts of endocrinology, vascular surgery, and radiation intervention center came to power. Because the lower knee blood vessels are very fine, the three blood vessels are closed, and the calcification is severe, and it is difficult to intervene in treatment. With skilled technology and rich experience, experts successfully opened the occlusal blood vessels after 3 hours of fighting under X -line, which greatly improved the blood supply of the foot.

After the successful vascular intervention surgery, the expert team of the creative restoration group composed of the endocrine department wound therapist, trauma surgery, and plastic surgery expert team conducts wound repair treatment for patient Filling and other technologies to promote wound healing, during the period of renal diseases, experts have repeatedly adjusted the dialysis scheme to ensure that the patient's renal function is not deteriorated. After the comprehensive treatment of multiple debris replacement, anti -infection and control of blood sugar, Chen Dad was successfully discharged from the hospital. After discharge, the medical staff of the endocrine department kept in touch with Chen Dad and his family through WeChat to guide him to change medicine in a local hospital. For more than a month after discharge, Dad Chen sent a photo, and the wounds in the left foot could be seen completely healed. "Thank you very much for the medical staff of Wuhan Central Hospital. He helped me succeed in keeping my feet and solved my big problem. I can now walk normally." Dad Chen expressed his gratitude to the doctor excitedly.

Director Mao Hong, the Department of Endocrine in the hospital, introduced that diabetic foot is one of the most serious complications of diabetes. Diabetes patients are prone to merging peripheral vascular disease and neuropathy, resulting in poor supply of lower limb blood supply. Poor blood glucose control, long course, and patients with a variety of diseases. If the infection is severe, the foot gangrene may face the risk of amputation.

The treatment of diabetic foot includes comprehensive treatment such as rebuilding closed plug blood vessels, controlling blood glucose, local wound treatment, and adjustment of the patient's whole body state. Essence To this end, Wuhan Central Hospital was led by the Department of Internal Secretory Department to form a diabetic foot and chronic wounds (MDT) diagnosis and treatment team of diabetic feet and chronic wounds (MDT) diagnosis and treatment teams such as endocrinology, vascular surgery, radiation intervention center, orthopedic surgery, trauma surgery, and plastic surgery. The specific condition of the patient formulate a personalized treatment plan. From the previous patients to different departments to find a doctor to see a doctor, it turned into a doctor of various departments to solve the problem around the patient. The limb rate is exempted from the pain of amputation.

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