Схемы инфузионной терапии в комплексном лечении синдрома диабетической стопы

2014 
The syndrome of diabetic foot is one of the terrible complications of diabetes mellitus and one of the main reasons for disability and mortality. The quantity of lethal outcomes after surgical treatment amputation the bottom extremities segments reaches 30-50% in the first year. The diabetic angiopathy, neuropathy, osteoarthropathy have defining value in development and course of diabetic foot, and also in planning of preventive actions. Research objective: to choose the optimum tactics of treatment and infusion therapy of diabetic foot for better outcome. Results and discussion. schemes of infusion therapy are presented in article. We made the short analysis of drugs from the register of medicines of the Russian Federation, the indication and contraindication is provided to application of the preparations used in the Diabetic Foot Center of Kazan, recommendations of carrying out conservative therapy are made. All drug administrations done after discussion of medicamental tactics, in committee. Endocrinologists, vascular surgeons are necessary. Conclusion. Treatment of patients with a diabetic foot has to be based on pathogenesis, stage-by-stage and continuous. It is important to explain the fact of whole-life treatment to the patient and his relatives.
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