最近审阅: 24 十月 2020
最近更新: 12 十二月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 糖尿病史
  • 足溃疡
  • 足痛
  • 发热或寒战

其他诊断因素

  • 不适感
  • 厌食
  • 足部红斑
  • 足、踝关节或小腿水肿
  • 足动脉搏动缺如
  • 波动性

危险因素

  • 感觉性神经病
  • 足溃疡既往史
  • 部分足部(趾)截肢既往史
  • Charcot 中足形变
  • 慢性肾病
  • 结构性前足形变
  • 踝关节活动受限(踝关节马蹄足)
  • 外周动脉疾病
  • 视觉损害
  • 血糖控制不佳

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 血糖水平
  • 足部 x 线检查
更多 首要检查

需考虑的检查

  • 微生物培养
  • 肾功能
  • 踝关节/足趾压力
  • 血管造影术
  • 足部 MRI 检查
更多 需考虑的检查

新兴检查

  • CT 血管造影术
  • 红细胞沉降率
  • C 反应蛋白 (CRP)
更多 新兴检查

治疗流程

撰稿人

Assistant Professor

Division of Vascular Surgery and Endovascular Therapy

Michael E. DeBakey Department of Surgery

Baylor College of Medicine

Houston

TX

利益声明

NRB declares that he has no competing interests.

Professor and Chief

Division of Vascular Surgery and Endovascular Therapy

Michael E. DeBakey Department of Surgery

Baylor College of Medicine

Houston

TX

利益声明

JLM is a consultant for, and owns stocks in, Nangio TX. He is a member of the scientific advisory committees for Cesca, AnGes, and AstraZeneca. He is the Co-National Principal Investigator for the Voyager trial of Rivaroxaban in peripheral arterial disease patients undergoing intervention; funding for this institutional research grant goes directly to the Baylor College of Medicine.

Professor of Surgery

Director of Southwestern Academic Limb Salvage Alliance (SALSA)

Department of Surgery

Keck School of Medicine of University of Southern California

Los Angeles

CA

利益声明

DGA declares that he has no competing interests.

同行评议者展开全部内容

Chief, Division of Foot and Ankle Surgery

Director, Foot and Ankle Fellowship Program

Department of Orthopedic Surgery

The University of Texas

Galveston

TX

利益声明

VP declares that he has no competing interests.

Reader and Honorary Consultant Vascular Surgeon

St George's Vascular Institute

London

UK

利益声明

RH declares that he has no competing interests.

Executive Medical Director/Podiatrist

Amputation Prevention Center

Los Angeles

CA

利益声明

LR declares that he has no competing interests.

Highly Specialist Podiatrist

Lancashire Care Foundation NHS Trust

Preston

UK

利益声明

JS declares that she has no competing interests.

内容使用需遵循免责声明