Báo cáo ca lâm sàng: Kết quả điều trị và chăm sóc vết thương nhiễm trùng sau chấn thương trên bệnh nhân tiểu đường tuyp II tại phòng khám Đa khoa Trường Đại học Y tế Công Cộng

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Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2020

Mô tả vật lý: tr.72-79

Bộ sưu tập: Metadata

ID: 321029

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Mục tiêu: Mô tả một trường hợp lâm sàng về chăm sóc và điều trị vết thương nhiễm trùng nặng sau chấn thương trên bệnh nhân đái tháo đường type 2 tại Phòng khám đa khoa trường ĐH Y tế công cộng. Ca bệnh: bệnh nhân nam, 56 tuổi, tiền sử đái tháo đường type 2 điều trị không thường xuyên, vào phòng khám ngày 9/8/2018 với lý do đau nhức, chảy mủ tại vết thương ở cẳng tay. Cách đó 2 tháng bệnh nhân bị ngã cầu thang chấn thương vùng cẳng tay, vết thương loét rộng, nhiễm trùng. Bệnh nhân đã điều trị tại nhiều bệnh viện nhưng vết thương không liền, loét sâu phải cắt lọc và để mở. Sau đó bệnh nhân vào phòng khámđã được chỉ định làm các cận lâm sàng và điều trị nội khoa ổn định, kết hợp ngoại khoa, chăm sóc vết thương bằng chiếu đèn hồng ngoại và chế độ dinh dưỡng dành cho người tiểu đường. Sau 4 tháng điều trị, vết thương đã liền sẹo, không đau nhức. Kết luận: Điều trị vết thương bị nhiễm trùng trên bệnh nhân có cơ địa đặc biệt là vô cùng khó khăn. Để vết thương nhanh liền chúng ta có thể kết hợp nhiều phương pháp điều trị như nội khoa, ngoại khoa và kết hợp với vật lý trị liệu, dinh dưỡng trị liệu.Objectives of the study: To describe a clinical case of care and treatment of severe post-traumatic wounds in a patient with type 2 diabetes at the General Clinic of Hanoi University of Public Health. Patient: A 56-year-old man with a history of type 2 diabetes who did not receive treatment regularly, entered the clinic on August 9, 2018, for the reason of pain and runny pus at the forearm wound. Two months ago, the patient fell down the stairs, injured his forearm, and had an extensive ulcer wound that got infected. The patient was treated at many hospitals but the wound was not healed, deep ulcers had to be cut and kept it open. After that, the patient admitted to the clinic, was performed some subclinical tests, received internal treatment combined with surgery, was cared for the wound by infrared light, and followed a nutrition plan for diabetics. After 4 months of treatment, the wound healed, formed a scar, and painless. Conclusion: Treating infected wounds in patients with special conditions is extremely difficult. To heal quickly, we can combine many treatments such as internal medicine, surgery, and physical therapy, nutrition therapy.

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1. Đọc trực tuyến

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