糖尿病患下肢傷口癒合不良之病例報告

A Case Report Involving Poor Healing of Lower Extremity Wounds in a Diabetic Patients

陳婉鈺(Wan-Yu Chen) ； 林坤緯(Kuen-Wei Lin) ； 吳伃仟(Yu-Chien Wu) ； 鄭逸航(Yi-Hang Cheng) ； 張佳閔(Chia-Min Chang) ； 林榮志(Jung-Chih Lin)

《秀傳醫學雜誌》 22卷3期 (2023/12) Pp. 406-415

https://doi.org/10.30185/SCMJ.202312_22(3).0012

摘要

本案為一位四十三歲男性患者，有高血壓及糖尿病史，規律服藥但數值控制不佳，在2019年4月22日發現右小腿脛骨內側紅腫、局部疼痛且高燒至39°C，求治風濕免疫科診斷為蜂窩性組織炎，服用Augmentin一週後紅腫範圍仍逐漸擴大，並伴隨間歇性發燒，故於2019年4月29日收置住院治療。患者就診中醫已間隔兩個月，而傷口遲遲未能癒合，呈現紅腫熱及按壓疼痛，且周圍皮膚轉為紫暗色，經濃縮中藥粉劑及針灸治療後，瘡口紅腫消退，疼痛減緩並收口癒合。

關鍵字

糖尿病 ； 蜂窩性組織炎 ； 臁瘡 ； 癒合不良 ； 中醫

並列摘要

A 43-year-old male patient has a history of hypertension and diabetes. Despite regular medication, his medical checkup indicators deviated from norm.. On 2019/04/22, his medial shin at the right calf presented red and swollen and he had local pain and a fever of 39 °C. A rheumatism immunity department diagnosed cellulitis. He took Augmentin for a week, yet the range of redness and swelling continued to expand gradually, accompanied by intermittent fever. He was accordingly hospitalized on 2019/04/29. It had been two months since the patient sought help from a traditional Chinese medicine (TCM) doctor, with an unhealed wound, redness, swelling, hot and pressing pain and dark purple surrounding skin. After treatment with a concentrated powder of Chinese medicine regime and acupuncture, the redness and swelling subsided, pain was relieved and the wound healed.

並列關鍵字

diabetes ； cellulitis ； eczema ； poor healing ； traditional Chinese medicine