The 88 -year -old elderly recipe is amputated, and multi -disciplinary combination treatment is successfully saved for the elderly

Wuhan Evening News June 23 (correspondent Liu Shanshan) The 88 -year -old old man had a small wound on his feet and did not care. After soaking his feet, ulcers and pus appeared, facing the danger of amputation. Fortunately, after the active treatment of diabetic feet and chronic wound multidisciplinary collaboration (MDT) diagnosis and treatment teams in Wuhan Central Hospital, the old man's feet were finally successfully kept.

Grandpa Chen, who lives in Suizhou, is 88 years old. He has been suffering from diabetes for more than 20 years. His blood sugar has not been ideal, and he has renal failure. Two months ago, he found that there was a small break on his left foot, and he had no symptoms. Listening to the people in the village said that there is a remedy to heal with herbs. 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 Grandpa Chen is old and has a lot of basic diseases, after multiple hospitals, vascular surgery, orthopedic department and other departments have told the doctor that the left foot may not be able to keep it. Facing the danger of amputation, Grandpa Chen was unacceptable for a while. He hoped that he could be Keep your left foot and come to the Department of Endocrinology of Wuhan Central Hospital for treatment.

Deputy Chief Physician of the endocrine department, deputy chief physician to check the wound for Grandpa Chen, found that his left foot was severely ulcerated, and a deep sinus tract was formed. Essence 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.

Diabetic foot and chronic facial multi -disciplinary collaboration (MDT) vascular group expert team performed interventional treatment for patients.

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 technical and rich experience, experts successfully opened the occlusion blood vessels after 3 hours of fighting, 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 promote wound healing, during which experts in nephropathy 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, Grandpa Chen was discharged smoothly. After discharge, the medical staff of the endocrine department kept in touch with Grandpa Chen and his family through WeChat to guide him to change medicine in a local hospital. For more than a month after discharge, Grandpa Chen sent a photo, and his left foot wound had completely healed. "Thank you very much for the medical staff of Wuhan Central Hospital. He helped me to keep my feet successfully, and I could walk normally." Grandpa Chen thanked him 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.

Mao Hong reminded that diabetic patients should usually control blood sugar, pay attention to observing changes in the foot every day, check whether there are wounds, wearing suitable comfortable shoes and socks, especially now entering summer, we should pay more attention when wearing sandals. There may be risk of ulceration. Before wearing shoes, develop the habit of checking shoes, remove the stones, gravel and other debris in the shoes, and keep the soles flat. Due to the gradually rising temperature, the sweat of the feet increases. Pay attention to drying the feet with warm water every day, especially between the toe seams. Use a soft towel to dry it gently, do not rub it hard to prevent any tiny skin damage. After going home, carefully observe whether the feet have red, blisters, and ulceration. Once the skin is damaged, you should seek medical treatment in time.

[Edit: Yu Lina]

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