Introduction
Lower limb infections are one of the more common general surgery conditions and can be caused by a variety of diseases and causes, such as diabetes mellitus, trauma, surgery, lymphobar blockage, vascular diseases, etc. The severity of the disease varies, and if treatment is not timely or appropriate, it can lead to serious consequences, such as increased spread of infection and even amputations, which have a significant impact on the quality of life and health of the patients. It is therefore important to examine in depth the clinical characteristics of general sub-surgery infections and to explore effective treatment strategies.
Information and methodology
(i) Nearly 500 cases of lower limb infections were selected for general surgical treatment in my institution from 2020 to the present. Inclusion criteria: Meet the diagnostic criteria for lower limb infections, complete clinical information. Collection of general information on patients (age, sex, underlying diseases, etc.), cause of infection (e.g., history of diabetes, history of trauma, history of intravenous diseases, etc.), clinical performance (local and whole-body symptoms), results of laboratory examinations (blood routine, blood sugar, blood resin, inflammation indicators, etc.), treatment (types of anti-infective drugs and treatment, method of initiation, assistive treatment, etc.) and pre- and post-natal conditions (cure, improvement, deterioration, amputation, etc.). Data collation and statistical analysis.
III. Results
(i) Distributive diabetic infections of 130 cases, or 26 per cent; post-traumatic infections of 69 cases, or 13.8 per cent; intravenous ulcer infections of 215 cases, or 43 per cent; lymphatic system infections and skin soft tissue causes of 86 cases, or 17.2 per cent. (ii) The clinical performance is characterized by the development of limbs and skins, pain, increased skin temperature, ulcer and even swollen formation. All-body symptoms include heat, cold, inactivity and restricted walking. (iii) Laboratory examination of regular blood tests with multiple indications of an increase in white cell count, mainly in the proportion of neutral particles. Most diabetic patients have no control of blood sugar or poor control of blood sugar, and haematose abnormalities (total cholesterol, triester glycerine, low-density lipid proteins or low-density proteins). C reflects an increase in inflammation indicators such as protein, calcium reduction. (iv) Retention of genres + drug sensitivity tests for treatment and pre-treatment before the use of antibiotics, the selection of sensitive antibiotics based on the results of the drug sensitivity tests, and the high incidence of infection of the lower limb soft tissues with greland positive bacteria such as yellow grapes, skins, streptococcus, etc., and the selection of suitable antibiotics based on experience before the drug sensitivity tests become clear. Infected areas need to be treated in a creative manner, and severe patients need to be treated in a surgical and conservative way. Active control of blood sugar, blood resin and improvement of the circulation of lower limb blood (e.g. use of live blood bruising, physiotherapy, etc.). After active treatment, most patients are curable and better, and five cases of poor infection control have worsened and one case of amputation.
IV. Discussion
(i) Diseases caused by the analysis of patients with diabetes due to chronic hyperglucose conditions, causing neurosis, vascular pathologies, ischaemic aerobics in the lower limbs, loss of feelings, and vulnerability to foot damage and to healing, leading to infection. Skin barriers are broken after trauma and bacteria are vulnerable to infection. The ulcer of the veins is more likely to be infected by arteries of the lower limbs, a lack of flow of the veins, local tissue malnutrition, oedema and reduced skin resistance. Some women on gynaecological tumours suffer from lymphomy inflammation, mostly as a result of pelvic surgery, which leads to lymphocyque blockage or lymphocytic reflow disorders. One of these cases was an unidentified lower limb infection, which led to a dysentery syndrome, which later resulted in a more re-hospital treatment, followed by a patient who died after three days of treatment in an outside hospital. (ii) There is a diversity of clinical manifestations of lower limb infections in clinical characteristics. The symptoms of local haematoma, pain, ulcer, etc. are more intuitive, while the whole body symptoms, such as fever, are related to the severity of the infection. Laboratory tests help to determine the presence and severity of the infection, white-cell count, the ratio of neutral particles and the indicators of inflammation reflect inflammation responses, and blood sugar, blood resin testing is important for identifying the causes of the disease and guiding treatment. (iii) Treatment strategy anti-infection treatment is a key component, and pathogen culture and drug sensitivity testing should be conducted as early as possible to rationalize the use of antibiotics. Local clean-up must be complete, and those who are seriously infected or are swollen should be operated on in a timely manner in order to remove dead tissues, lead to sepsis and promote healing. For diabetes patients, strict control of blood sugar is the basis, with attention to management of blood resin. Improving the circulation of lower limb blood can increase the nutritional supply and resistance of local organizations, using a variety of means, such as drug treatment and physiotherapy. In the light of the above, the treatment of general sub-surgery infections requires a combination of causes and conditions, and individualized treatment programmes to improve the effectiveness of the treatment and improve patient prognosis.
It’s poison.
