跨科联手治疗　糖尿病患免截肢 作者： 健康医疗网／林怡亭报导 Through multidisciplinary treatments, diabetic patients can be exempt from amputation. Author: Health & Medicine News / Lin Yi-Ting 1名68岁糖尿病患者，过去曾因踩到铁钉、冻伤等因素，诱发下肢伤口感染，甚至坏死性 筋膜炎等症状，原本必须进行膝上截肢，但透过显微皮瓣重建手术配合高压氧治疗後，不 但不需忍受截肢之苦，已逐渐恢复健康。 A 68-year-old diabetic patient once suffered from lower extremity infections and even symptoms of necrotizing fasciitis that were induced by frostbite, traumas resulted from stepping on nails, etc. He originally had to undergo above-knee amputation; however, through microsurgical free flap reconstruction combined with high-pressure oxygen, he not only didn't need to bear the pain of amputation but had also gradually restored to health. 多数糖尿病患者在面对足部溃疡时，除了得控制血糖，也得面对难以癒合的伤口治疗；高 雄长庚医院外科部主任郭耀仁指出，透过跨科整合整型外科伤口小组、新陈代谢科、心脏 外科等合作，进行治疗糖尿病患足部溃疡上，成效良好。 In dealing with foot ulcers, most diabetes patients have to control blood sugar as well as receive treatments of wounds that are difficult to heal. Kaohsiung Chang Kung Memorial Hospital's head of Plastic and Reconstructive Surgery Kuo Yur-Ren pointed out that through multidisciplinary integration of team of plastic surgery wound care and branches of metabolism and cardiac surgery, treatments for foot ulcers of diabetic patients give good results. 在台湾，每年约有4000名糖尿病患者因伤口溃疡、感染等因素，必须面对截肢的命运，高 雄长庚医院去年约有60至70名糖尿病患者必须接受截肢，但经由该院努力，目前糖尿病人 需要截肢者已不到10人。 In Taiwan, about 4,000 diabetic patients annually have to face the destiny of amputation due to ulcerated or infected wounds. Last year, around 60 to 70 diabetic patients in Kaohsiung Chang Kung Memorial Hospital must undergo amputation; however, owing to the efforts of the hospital, currently the number of diabetic patient that must undergo amputation had dropped to less than 10. 另外，近年来医疗进步，也逐渐尝试透过新的敷料照护，都能帮助更多患者免去饱受截肢 的痛苦；郭耀仁呼吁，许多糖尿病患者也可能因血管阻塞问题，造成足部坏死等现象，有 任何症状出现时，就应尽快就医治疗，才能把握黄金治疗期，保全下肢。 Besides, with medical advancements in recent years, new types of surgical dressing that can help avoid pains of amputation are also tried by a growing number of patients. Kuo Yur-Ren called out that vascular occlusion of many diabetic patients may also cause necrosis of their feet and so forth. Whenever any symptom emerges, the patient should seek medical treatments as soon as possible so as to seize the golden hour for treatment and preserve lower limbs. --

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