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患者男,52岁,农民,主因“右足烫伤后皮肤破溃半年,加重伴右足趾变黑20天”入院,既往发现“糖尿病”4年,未正规治疗,否认高血压、冠心病史。现病史:半年前烫伤后出现右足皮肤红肿疼痛,经外敷药膏症状好转,但不久出现皮肤破溃,于当地用外用药包扎,创面时好时坏。近20天右足创面溃烂加重并右足趾变黑、发热来诊。入院查体:T39.4℃,P114次/分,R23次/分,Bp140/70mm Hg,神志清,精神差,体检合作,心肺腹未
Patient male, 52 years old, farmer, due to “right foot scald skin ulceration for six months, aggravating with right toe blackening 20 days ” admission, past found “diabetes ” 4 years, no formal treatment, denied hypertension, crown Heart history. History of illness: Half a year ago, there was swelling and pain in the right foot skin after scald. After symptoms of topical ointment got better, skin ulceration soon appeared. In the past 20 days, the right foot ulceration aggravated and the right toe turned black. Admission examination: T39.4 ℃, P114 times / min, R23 beats / min, Bp140 / 70mm Hg, clear consciousness, poor health, physical examination cooperation, cardiopulmonary abdomen