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Diabetic neurogenic bladder of 26 cases

He Zhiyuan) treatment of diabetic foot new medical information, Jilin 19 2002 7 ~ 8 (4) if the pain associated with most of the skin, cyanosis, local injection of drugs available. I used 2 lidocaine 1 ~ 2ml ,654-21O ~ 20ml, Vitamin B15O ~ 100rag, vitamin B12500ug, ahylysantinfarctase 0.25 ~ O. 5U and other preparations made from mixing in the junction of normal and pathological skin and subcutaneous injection after disinfection, injection area around the ankle or foot may be a week or simple partial, once a day,[link widoczny dla zalogowanych], strictly aseptic operation, the local press after the injection to prevent liquid leakage. The mixed with thrombolytic agents, vasodilators, the role of nutrition nerve, and because there are few areas of local anesthetic to reduce pain of injection. After years of clinical observation of the combined renal insufficiency not severe hypoproteinemia disease had more than 98%. (5) self-care: should pay attention to local hygiene, clean,[link widoczny dla zalogowanych], dry, ventilated,[link widoczny dla zalogowanych], wear soft, comfortable shoes, help activities, reducing the stimulation of external factors on the disease. (Fan series: He Zhiyuan) Wang Jiwei Liu Li-chun Xiao Qiang at the Jilin City Central Hospital of drug-induced disease Diabetes mellitus is a serious hazard to human health, chronic disease and long treatment can have a variety of complications, diabetic foot is one of the more important one performance, the light of local ulcers, necrosis, severe amputation. It is due to increased local glycated hemoglobin, tissue ischemia caused by small blood vessels expand, because of increased capillary fragility subcutaneous bleeding and bruising easily,[link widoczny dla zalogowanych], due to insufficient blood supply to the skin microcirculation can cause local skin cyanosis or ischemic ulcer. At the same time the bypass diabetic microangiopathy and sorbitol sorbitol increased metabolic enhancement that has led to peripheral neuropathy, lower limbs as the most important clinical manifestations: paresthesia with numbness of extremities, acupuncture, limb pain, ulcers, and even the local purulent suppurative osteomyelitis. In recent years, our hospital has more than 4O cases of diabetic foot patients, the severity of clinical manifestations vary, but the treatment effect is good, is summarized as follows. (1) to give insulin antidiabetic therapy, as far as possible the fasting blood glucose control 3.5 ~ 7. 2mmol / L between. A prerequisite for the treatment of blood glucose, and only good control of blood sugar, complications can occur late or developmental delay, and conducive to disease recovery. (2), systemic vasodilators, improve blood circulation. Such as race Lai Le (Composition Buflomedil hydrochloride), the most serious damage to the vascular bed to make the site of the greatest improvements in blood perfusion, while increasing the red blood cell filterability, saving tissue oxygen function, protect the organization effect. If the patient without a coagulopathy may be given a small dose of heparin 6250IU / day, subcutaneously qd for 3 days, help thrombolysis. (3) for Local ulcer or complicated by infection, purulent penicillin G potassium may topical powder, sensitivity test before use, positive for chloramphenicol powder, negative to be available. Soluble penicillin, broad spectrum antimicrobial characteristics, and other flora growing around the hard, play better bactericidal effect, dressing was changed every day, local clean, exposed, dry, well clear the pus, and then Gao Jie external factors to promote bud tissue growth treatment. Tong Juan Jilin City Central Hospital, drug-induced diseases enhanced by the pharmacological effects of drugs caused. The basis of pharmacokinetics, drug concentrations in the abnormal increase in unit time, can cause adverse reactions related to organ, with the pharmacological effects of drugs has nothing to do normal abnormal response. Performance ratio of various clinical types of allergic reactions to drugs, followed by various types of skin lesions and gastrointestinal drug-induced disease. (1) where too frequent use of antibiotics can produce resistance, there flora and allergy, there bone marrow hematopoietic system, nervous system,[link widoczny dla zalogowanych], kidneys, gastrointestinal tract, liver toxicity at. Such as the aminoglycosides on the auditory nerve and kidney side effects to varying degrees, quinolones on bone growth and development of children, l chloramphenicol aplastic anemia since the index l Furazolidone prone to allergic drug eruption, long-term use of penicillin sodium induced hypokalemia disease, anti-tuberculosis drugs induced liver damage. (2) Some drugs can trigger cancer. Cytotoxic anti-cancer drugs such as L-soluble drugs sarcoma factors and cyclophosphamide treatment of multiple myeloma may induce leukemia and other tumor hormone medicines can cause cancer continuous long-term application, such as women dressed in uniforms female shock, can induce ovarian cancer the male hormone medicines, the methyl testosterone can induce liver cancer. Anti-inflammatory drugs for long-term use, such as dipyrone, aspirin compound to pain tablets, causing kidney damage, some 9.5% of renal pelvis cancer or bladder cancer occurrence. Yishuangmalin induced leukemia. (3) allergic hypersensitivity. If 23% ~ 2O% of the asthma attack and is closely related to aspirin, which is actually allergic asthma, the I-type allergy. A variety of drug-induced allergic purpura (intestinal type, skin type) can cause severe shock. A
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