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目的讨论糖尿病患者急诊手术的围手术期处理。方法回顾分析2005年5月至2007年5月本院69例急诊手术治疗的普通外科疾病合并糖尿病患者的临床资料。结果69例患者全部治愈,无一例死亡,无一例发生酮症酸中毒或非酮症高渗性昏迷,7例患者发生切口感染,2例发生肺部感染,2例发生尿路感染,此11例患者经积极相应处理,均痊愈出院。结论围手术期处理关键是监测血糖和胰岛素控制血糖和代谢紊乱,维持内环境稳定,减少并发症的发生,合理选择手术时机。防止感染。营养支持。适当延长拆线时间。
Objective To discuss the perioperative management of emergency surgery in patients with diabetes mellitus. Methods The clinical data of 69 patients with general surgical diseases complicated with diabetes mellitus treated in our hospital from May 2005 to May 2007 were retrospectively analyzed. Results All the 69 patients were cured. None died of ketoacidosis or nonketotic hyperosmolar coma. Seven patients had incisional infection, two patients had lung infection and two patients had urinary tract infection. The patients were treated accordingly, were cured and discharged. Conclusion The key of perioperative management is to monitor blood glucose and insulin to control blood sugar and metabolic disorders, to maintain stable internal environment and reduce the incidence of complications, and to select the appropriate timing of the operation. Prevent infection. Nutritional support. Appropriate to extend the stitching time.