治疗感染性糖尿病足溃疡的新型伤口敷料 Theruptor Novo:两份病例报告

Subhash M. Kale
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摘要

印度是世界糖尿病中心,估计有 7700 万 18 岁以上的成年人患有 2 型糖尿病,近 2500 万是糖尿病前期患者。大约 15-20% 的糖尿病患者一生中至少会患上一次糖尿病足溃疡,如果不及时干预,还会导致畸形和截肢。糖尿病足感染的临床诊断依据是至少出现两种典型的炎症或化脓症状,通常表现为单一/多微生物病因。外科医生必须了解感染的过程、不愈合伤口的处理原则以及足部的生物力学,才能获得最佳治疗效果。我们描述了两例感染伤口不愈合的病例报告。通过多学科团队合作、对患者进行糖尿病教育、减轻负重和定期使用 Theruptor Novo 进行伤口包扎,伤口得以愈合。
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Theruptor Novo, a novel wound dressing in the management of infected diabetic foot ulcer: two case reports
India is the world's center for diabetes, with an estimated 77 million adults over the age of 18 having type 2 diabetes and nearly 25 million are pre-diabetics. Approximately 15-20% of diabetic patients will suffer from diabetic foot ulcer at least once in their lifetime which can also lead to deformity and amputation if timely intervention is not done. The presence of at least two classic signs of inflammation or purulence is the basis of clinical diagnosis of diabetic foot infection and it usually presents with mono/polymicrobial etiology. The surgeon must know the course of the infection, principles of non-healing wound management, and biomechanics of the foot for an optimal outcome. We described 2 case reports who presented with non-healing infected wounds. Healing was achieved through multidisciplinary team approach, patient education about diabetes, off-loading regime and regular wound dressing using Theruptor Novo.
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