糖尿病性水疱病18例临床分析

Analysis on Clinic Characteristics in 18 Cases with Diabetic Bullae

目的：通过分析 １８例糖尿病性水疱病，提高对本病的认识。方法：评价 １８例患者的临床资料，给予控制血糖等综合治疗，观察水疱进展。结果：１０例单发水疱随血糖控制而自愈，另外８例经综合治疗后７例水疱愈合，１例发展为皮肤坏疸。结论：糖尿病性水疱病多见于糖尿病病程长，血糖控制不良且合并有多种并发症的患者，恰当的治疗可预防坏疽等严重并发症的发生。

Objective: To enhance the acknowledgement of diabetic bullae, 18 patients were observed and evaluated. Method: The clinical condition of 18 diabetic bullae patients were evaluated, combined therapy was adopted and the outcome of bullaes was recorded. Result: As blood glucose con-centrition decreased to normal, the bullae disappear spontaneously in 10 patients, while 7 of the other 8 patients recovered after the treatment with combined therapy, 1 patient developed gangrene unfor-tunetly. Conclusion: Diabetic bullae was usually seen in patients with a long diabetic history, poor blood sugar controlling or severe chronic complications, properly treatment can efficiently prevent the e-mergence of severe complications such as diabetic gangrene.