Uncle Cao is also a patient who is particularly concerned, and after the examination, the results are out.

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Atherosclerosis of the lower extremities, occlusion of the right common and external iliac arteries with collateral circulation. The popliteal artery lumen is mildly narrowed, and the arterial blood supply to the right lower extremity is insufficient. Segmental occlusion of the right iliac artery with peripheral collateral vessels and a thrombus of about 10 cm in length.

The three ulcers on the right plantar of the foot, the deepest sinus tract was 0.7 cm, and the shallowest one was 0.5 cm, and the bone was not injured.

In other words, after debridement, if the recovery is smooth, there is still a good chance that the foot will be saved.

The reason why there is a high chance is that the feet are an important targeted organ for diabetics. Diabetic foot is also one of the chronic complications that lead to disability and death in diabetic patients, and there is a high chance of recurrence.

Now Uncle Cao's three ulcers have abscesses, which belong to the depth of grade 3 ulcers, which is likely to threaten the limbs. Not to mention localized gangrene that progresses to grade 4 and full-legged gangrene to grade 5.

In fact, as long as the range of cellulitis is greater than 2 cm, obvious swelling, abscess formation, lymphangitis, gangrene in clinical practice, with these symptoms, it is a limb-threatening infection.

And combined with Uncle Cao's current situation, it is not just a plantar debridement operation. Although the symptoms are mainly on the right foot, they require systemic treatment.

First of all, I have to lift Uncle Cao's physical indicators and control my blood sugar. Because the blood sugar is too high, it will affect the wound healing and complicate infection.

After the preoperative preparation, it is also necessary to perform right femoral artery incision and thrombectomy and intimal decortication to get the thrombus done. Then perform sharp debridement on the soles of Uncle Cao's feet, without touching those active tissues.

This is the final plan discussed by the Department of Endocrinology and Orthopedic Surgery, and Liu Banxia after participating in the consultation.

"Xiao Liu, you can do the work of plantar debridement, it will not be more difficult than debridement of the fire fighter's hand burns. Xu Peichen said with a smile.

Liu Banxia nodded, "Director Xu, then I'm welcome." It's also someone I know, if I don't help do something, I'm still a little upset. ”

"Okay, then let's do this first, I'll administer the medicine later, and you can test it here. If you are physically satisfied, you can go straight to the surgery. Ding Yuanhang said.

"Although the blood clot has not been blocked, it is still dangerous. Temporarily maintained with some thrombolytic drugs, the sooner the operation can be performed, the better. I'll go back first, and if there is a change in the patient's condition, call me directly. ”

"Director Ding, thank you so much. Liu Banxia said gratefully.

This face is very big, and this "call" is not a call to the endocrine department, but Ding Yuanhang's mobile phone. This represents a kind of recognition and recognition of Liu Banxia's strength.

"Dr. Liu, thank you so much this time. After waiting for the two directors to leave, the eldest son of the Cao family grabbed Liu Banxia's hand and said.

"Don't be so polite with me, Uncle Cao trusts my medical skills and has come to me, all I can do is to do my best to solve the problem. Liu Banxia said.

"Although the results of the current examination are still very optimistic, there are some things that I have to explain to you in advance. As long as it is surgery, there will be corresponding risks, especially Uncle Cao has diabetes, which has a great impact on the prognosis. ”

"I need to do two surgeries, one is to deal with blood clots, and I will ask one of them to be in place in the general surgery department. I am personally responsible for the debridement of the soles of the feet, and I will do my best to remove all the necrotic tissue and preserve the viable tissue as much as possible. ”

Liu Banxia said very sincerely, but when they heard his words, the brothers of the Cao family hesitated.

The key reason is that Liu Banxia is too young. You see that because he paid more attention, he discovered Uncle Cao's diabetic foot. However, in terms of surgery, he is so young, and his reliability is a little low.

"You can rest assured that Dr. Lau is very strong in debridement. Seeing the expressions of these two brothers, Liang Xiaolin was a little angry.

"There was a necrotizing fasciitis patient's finger and a firefighter's charred hand, both of which Dr. Liu was responsible for debridement. Both patients are currently recovering very well, and the firefighter is now in the burn unit of the city hospital. ”

Hearing that Liang Xiaolin came over directly, the two brothers were a little embarrassed.

"It's nothing, after all, I'm too young and confusing. But in the past three years, the most I have done is debridement. Liu Banxia said with a smile.

"You better hurry into the ward and talk to the old man, the impact of your mood on your condition is also very important. I'm giving you the green light today, as long as you don't make too much noise at night. ”

"Dr. Liu, thank you so much, don't forget what you just did. The eldest son of the Cao family said.

Liu Banxia patted his arm and didn't say anything more.

"You're good-tempered, and if it were me, I wouldn't care about them. Liang Xiaolin was still puffing up.

"Accompany the old man more, there won't be so many things. Ay...... I'm really worried that it's too late and I have to control my blood sugar before I can have surgery. ”

"My aunt and grandmother, be quiet, don't be angry. I'll go home and get a good night's sleep, and I'll be almost ready for surgery tomorrow. Liu Banxia said.

"Doctor Liu, are you a family, and Dr. Liang is your grandmother?" asked Qing Keva, who was watching the excitement, curiously.

"Haha, I don't want such a big ...... Uh-huh. Liang Xiaolin said with a smile.

"To be naughty, it is still necessary to restrain your personal attitude towards patients and their families. When the time comes, you will be responsible for the confirmation of the operation, okay?" Liu Banxia said.

Liang Xiaolin wrinkled her nose, even if she wanted to say "no", would it work? This product is sometimes a tendon, and he didn't run away when he recognized it.

"I'm hungry. That's when Qingkova came to say.

Liu Banxia took out his mobile phone and looked, good guy, it's almost seven o'clock. Discussions come and go, and time is forgotten.

"Let's go, let's go to the cafeteria first, and invite you two to eat a small stir-fry. Liu Banxia waved his hand.

He is so generous, Liang Xiaolin will not be polite to him. What about Qingkova? What are you doing, let's follow. And she also made a decision to practice the use of chopsticks seriously from today's dinner.

Dr. Liu said that if you use chopsticks well, you can make your fingers more flexible, so that's right, Dr. Liu is very powerful.

Watching these two girls get together and muttering about what to eat, Liu Banxia was so helpless. It's only been a day since we've known each other, can you be so familiar?