BD54
糖尿病足部溃疡
Diabetic foot ulcer
- 上级条目
- 动脉或小动脉疾病
- 层级
- 3 级
定义
慢性足部溃疡发生在多达15–25%的糖尿病患者中。潜在的病因是糖尿病神经病变引起的感觉障碍和糖尿病血管病变引起的灌注受损。不良的足部护理、异常的足部结构或不合脚的鞋子会增加糖尿病足溃疡的风险。溃疡通常发生在足底压力增加的区域，尤其是跖骨头下方。
Chronic foot ulcers occur in as many as 15–25% of diabetic patients. The underlying aetiology is a combination of disturbed sensation from diabetic neuropathy and impaired perfusion from diabetic vasculopathy. Poor foot care, abnormal foot structure, or poorly fitting shoes increase the risk of diabetic foot ulcers. The ulcers typically occur in areas of increased plantar pressure, especially beneath the metatarsal heads.
索引词 可用于检索该条目的同义词与别名
- 糖尿病足部溃疡
- 慢性糖尿病足溃疡
- 糖尿病引起的足神经性和血管性溃疡
- 糖尿病足
- 糖尿病足神经性溃疡
- 糖尿病足溃疡伴坏疽
- 糖尿病足溃疡伴坏死
- 坏死性糖尿病足溃疡
- 坏疽性糖尿病足溃疡
- 糖尿病足干性坏疽
- 糖尿病足伴干性坏疽
- 糖尿病足湿性坏疽
- 糖尿病足伴湿性坏疽
英文词条（13）
- Diabetic foot ulcer
- chronic diabetic foot ulcer
- diabetic foot
- neuropathic and vasculopathic ulceration of foot due to diabetes mellitus
- neuropathic ulceration of foot due to diabetes
- Diabetic foot ulcer with gangrene
- diabetic foot ulcer with necrosis
- gangrenous diabetic foot ulcer
- necrotic diabetic foot ulcer
- Dry gangrene of diabetic foot
- diabetic foot with dry gangrene
- Wet gangrene of diabetic foot
- diabetic foot with wet gangrene
编码备注 Coding note
始终指定一个糖尿病的附加编码。
Always assign an additional code for diabetes mellitus.
后组配轴 Postcoordination
后组配是在主干编码之后追加的可选扩展轴（如侧别、具体解剖部位、严重程度），用于把「部位 + 侧别 + 病程」等细节一次表达完整。只有标注「必填」的轴在组合编码时必须给出，其余可留空。
- 侧别laterality可选
- 具体解剖部位specificAnatomy可选
- 临床表现hasManifestation可选
- 病因hasCausingCondition必填