中国典型病例大全

本研究选取南方医科大学南方医院增城院区普通外科收治的1例糖尿病合并肛周感染患者，男，82岁，有高血压、2型糖尿病、冠心病病史，冠状动脉支架植入术后状态，临床表现出低热、双下肢肿胀、左臀部红肿、疼痛、溃烂、流脓等症状两周余，诊断为（左臀部）皮肤和皮下组织感染、双下肢水肿、高血压、2型糖尿病。给予患者清创、控制血糖、伤口负压冲洗引流、换药处理后，伤口愈合，同时实施个体化健康教育，最终患者血糖、炎性指标均显著下降，创面伤口愈合，睡眠质量良好，无焦虑，患者生活质量显著提升。

This study presents a case of a diabetic patient with perianal infection admitted to the department of general surgery at Zengcheng Campus of Nanfang Hospital, Southern Medical University. The patient is an 82-year-old male with a medical history of hypertension, type 2 diabetes, coronary heart disease, and post-coronary stent implantation. The clinical presentation included persistent low-grade fever, bilateral lower limb edema, redness, swelling, pain, ulceration, and purulent discharge in the left gluteal region for more than two weeks. The diagnosis included(left gluteal) skin and subcutaneous tissue infection, bilateral lower limb edema, hypertension, and type 2 diabetes. The patient underwent debridement, blood glucose control, wound irrigation and negative pressure drainage, as well as regular dressing changes. Following treatment, the wound healed completely. Individualized health education was also implemented. Ultimately, the patient's blood glucose and inflammatory markers significantly decreased, the wound healed, sleep quality improved, anxiety was absent, and the patient's quality of life was notably enhanced.