The diabetic foot is one of the chronic complications of diabetes mellitus, which has attracted widespread attention because of its high disability rate, and now it has taken the first place in the non-traumatic amputation. In several years of work experience, I have accumulated a little experience in the treatment of this area, and I write it out as a brick in the wall. First of all, the affected foot should be photographed, if there is bone destruction, do not insist on conservative treatment, should be transferred to surgery as soon as possible to wait for necrosis demarcation obvious after surgery, if there is still no bone destruction can be internal treatment, try to avoid disability. The medical treatment of diabetic foot can be broadly divided into two aspects: systemic medication and local treatment. Immediately after receiving the patient, trauma secretions should be taken for bacterial culture to guide clinical antimicrobial selection. Observe whether the trauma is a fungal or bacterial infection. If it is a fungal infection, apply topical dacrynic cream and expose the trauma; if it is a bacterial infection, a broad-spectrum antimicrobial agent should be used before the culture results are available, usually cephalosporin III or above. In addition to antimicrobial therapy, systemic medication should include the following: 1. control blood sugar; 2. anticoagulation, oral clopidogrel; 3. dilation, salvia is good, good economy can use Kaiser, the drug can also scavenge oxygen free radicals, control further expansion of the trauma; 4. nerve nutrition, intramuscular injection of Micropôle; 5. analgesic treatment when pain is obvious; 6. nutritional support therapy. Local treatment is mainly debridement, and the success or failure of treatment is determined by the good or bad debridement. Diabetic foot debridement is different from surgical debridement because most of the trauma boundaries are not clear at the time of arrival, so debridement should be carried out gradually. The external necrotic skin is cut and then rinsed with hydrogen peroxide and chlorhexidine in sequence. The foot tissue is lax, so the irrigation must be thorough, and a syringe can be used to irrigate the tissue. After chlorhexidine, the foot can be rinsed with anti-inflammatory drugs, such as 0.9% metronidazole 100ml + 654-II
10mg + insulin 6u + amikacin 0.2, the effect is good. If the wound is large, you can apply polyvinyl copper iodine ointment. This ointment can also be used to drain the wound before it heals at a later stage.