跨科聯手治療　糖尿病患免截肢 作者： 健康醫療網／林怡亭報導 Through multidisciplinary treatments, diabetic patients can be exempt from amputation. Author: Health & Medicine News / Lin Yi-Ting 1名68歲糖尿病患者，過去曾因踩到鐵釘、凍傷等因素，誘發下肢傷口感染，甚至壞死性 筋膜炎等症狀，原本必須進行膝上截肢，但透過顯微皮瓣重建手術配合高壓氧治療後，不 但不需忍受截肢之苦，已逐漸恢復健康。 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. 多數糖尿病患者在面對足部潰瘍時，除了得控制血糖，也得面對難以癒合的傷口治療；高 雄長庚醫院外科部主任郭耀仁指出，透過跨科整合整型外科傷口小組、新陳代謝科、心臟 外科等合作，進行治療糖尿病患足部潰瘍上，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. 在台灣，每年約有4000名糖尿病患者因傷口潰瘍、感染等因素，必須面對截肢的命運，高 雄長庚醫院去年約有60至70名糖尿病患者必須接受截肢，但經由該院努力，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，近年來醫療進步，也逐漸嘗試透過新的敷料照護，都能幫助更多患者免去飽受截肢 的痛苦；郭耀仁呼籲，許多糖尿病患者也可能因血管阻塞問題，造成足部壞死等現象，有 任何症狀出現時，就應盡快就醫治療，才能把握黃金治療期，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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