The 24 Year Old Boy Died Of A Toe Injury Because He Wore Beautiful Leather Shoes.

Recently, a 24 year old boy in the Department of endocrinology of a hospital in Zhejiang has died of a toe due to diabetic foot.

"This young man is the youngest diabetic foot that we have received so far. Diabetic foot, or "rotten foot", is usually a relatively long history of diabetes. The average number of diabetic foot patients in the country is over 60 years old. Li Lin, deputy chief physician of the young man in charge.

Why did his diabetes develop so fast that he was so fond of wearing it? Winklepickers 。

20 years old physical examination found diabetes

Wearing pointy leather shoes, worn feet, and ulcerated toes.

Young man surnamed Zhang (alias), who lives in Yuhang, about 1.8 meter, weighing 210 Jin. Xiao Zhang inherited his father, who was fat from childhood, plus a single son, and his family was more addicted to him. So Xiao Zhang had no control over eating and drinking. He wanted to eat what he wanted to eat, what he wanted to drink and what he drank, and Xiao Zhang became more fat.

About two or three years ago, Xiao Zhang had already known that he had diabetes through physical examination. Fasting blood glucose was often in 20mmol/L (about 6mmol/L in normal people), but he felt embarrassed by getting diabetes at a young age. He felt that he didn't feel too uncomfortable.

Xiao Zhang, who has diabetes, has an interest in reading: wearing pointed shoes.

"He wants to be beautiful. shoes Sharp, good-looking, when I was in high school, I liked to wear shoes and shoes that were narrow. Xiao Zhang's mother told Dr. Lee.

Some time ago, Xiao Zhang bought a new pair of leather shoes. The new shoes rubbed his feet, and he broke the fourth toe of Xiao Zhang's left foot. Most people's toes are broken, and they may be fine after two days. Xiao Zhang is different. He has diabetes. Diabetic patients are especially hard to heal after their skin is broken, and they are easily infected by bacteria.

So Xiao Zhang's little wound became bigger and deeper, and the peripheral nerves of diabetics were not sensitive. Later, his fourth toes turned black.

"At the end of August, he started to have a fever, he didn't go to the hospital with fever, and stayed at home for four or five days. He could not bear to go to a nearby hospital to see his toes." Dr. Li Lin asked in detail the history of Xiao Zhang.

At this time, Xiao Zhang has a high fever of 39.5 degrees, and his consciousness is blurred. The fourth toe of his left foot was completely ulcerated, all of his tendons and bones were black and black, and the fester had spread to the dorsum of his foot, and the bacteria entered the blood to cause septicemia.

The hospital did not dare to neglect, knowing that the hospital had studied the diagnosis and treatment of diabetic foot, and hurriedly spanferred Xiao Zhang to another large hospital for emergency treatment by ambulance.

Normal people also don't recommend wearing long pointed shoes for a long time.

The bone of the toes will be deformed for a long time.

After receiving the doctor's advice, Dr Li found that his feet were badly deformed because he wore them for a long time. Pointed shoes Xiao Zhang's toes could not be stretched and folded. Even without looking at the rotted fourth toes, his second toe has been arched to the top of his thumb and third toe and turned into a triangle.

The situation is serious. Xiao Zhang's fourth toe has rotted away. The progress of diabetic foot is very fast. In a few days, it can rot to the entire foot. Dr. Li's Department of Endocrinology, joint surgery, hand and foot surgery, wound care, ultrasound, infection, bacteriology room, anesthesiology, etc., for Xiao Zhang to control blood sugar, anti infection, local debridement, plus antibiotic bone cement local implantation, plus two closed wounds, finally saved most of the left foot of Xiao Zhang.

"Our hospital has a multi-disciplinary joint diagnosis and treatment center for diabetic foot. The advantages of many disciplines are concentrated in order to reduce the amputation rate of diabetic foot patients and preserve their limb function as far as possible. The amputation rate of diabetic foot in China is around 18%, while that in our hospital is only 9/1000. Amputation in the traditional sense refers to the amputation below the knee. If it can only remove the necrotic toes, keep the feet and even the calves, and thus retain normal walking functions, it is still very important for the patients. Dr. Li Lin said.

Although Xiao Zhang can still walk in the future, his parents are worried: if they are so young, they will become like this. How can they find a girlfriend later? Dr. Li said, even normal people, it is not recommended to wear long pointed shoes for a long time. Even if there are no rotten feet, the toe bone will be deformed for a long time due to extrusion. There will be a lot of Department of orthopedics problems in the later years.

Loose, dry, clean, soft contact.

Diabetic patients should pay special attention to foot care.

Dr Li said that the peripheral nerves of diabetic patients are insensitive, and it is not easy to heal after wound healing. In particular, attention should be paid to foot care in order to avoid diabetic foot.

1. keep your feet clean, warm water (feel not hot on your hands, touch your hands, use your feet), wash your feet, and not soak for too long. When you dry, you should pay special attention to drying your toes.

2. keep your feet and toes dry and easy to sweat. After you wipe your feet, you can put on the talcum powder. The feet are too dry to apply skin care products, such as silicone cream, Vaseline, etc.

3. check every part of your feet every day to see if there is blistering or breakage. Once found, take treatment measures as soon as possible, do not know it, and go to the hospital to be handled by a doctor.

4. when you cut your toenails, avoid cutting your skin. Do not cut your own cocoons and corns, and look for a doctor.

5., the contact surface should be loose, clean and comfortable loose cotton socks, not barefoot walking, at home, it is best to wear soft bottom cloth shoes, do not wear plastic slippers (easy to rub feet).

6. shoes should be spacious and well ventilated. It is best to leave one finger at a distance. Do not wear shoes barefoot, do not wear toe sandals, do not wear high heels.

7. in summer or in areas where the sun is strong, feet should be covered with sunscreen. Wear warm shoes in winter and get wet when wet. No electric mattress, hot water bag, no sauna bath, no warm type family physiotherapy instrument.