당뇨발궤양 관리의 요약 목표 순환개선 부종치료 통증조절 감염 치료 대사조절 개선 부하제거 국소치료 발 외과 전신 상태 환경 전략 비침습적 혈관검사 - 경피적 혈관성형술(PTA) - 혈관 수술 진통제 - 불안제거 항생제 - 경구제 - 비경구제 배양, 생검 방사선, CT, 골스캔, MRl 치료구두 - 깔창/보장구 접촉석고고정/스카치캐스트 부츠 목발 휠체어/침상 안정 변연절제 드레싱 국소용 약제 피부이식 절개/배액 교정 수술 절단 심혈관 치료 신부전/신경증 치료 영양 불량 치료 금연 환자/스탭교육 준수(순응도) 지원/계속 치료 통합적 치료 07_당뇨발궤양: 경과와 관리 45
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