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目的探讨老年结直肠癌合并糖尿病患者围手术期的处理。方法对28例老年结直肠癌合并糖尿病患者的手术进行了回顾性分析。结果限期手术22例,急诊手术6例。治愈率71.4%(20/28),好转率25%(7/28),病死率3.6%(1/28)。术后并发切口感染5例,肺部感染2例,心律失常2例,泌尿感染2例,真菌感染1例,吻合口瘘1例,无酮症酸中毒。结论对合并糖尿病的老年结直肠癌患者给手术带来不利因素,但强调围手术期严格控制血糖,作好必要的肠道准备,合理使用抗生素,选择合理的手术时间及麻醉方式,有效的营养支持,是获得理想的外科治疗效果的有效措施。
Objective To investigate the perioperative management of elderly patients with colorectal cancer complicated with diabetes mellitus. Methods A retrospective analysis of 28 elderly patients with colorectal cancer with diabetes mellitus was performed. Results of 22 cases of deadline surgery, emergency surgery in 6 cases. The cure rate was 71.4% (20/28), the improvement rate was 25% (7/28) and the case fatality rate was 3.6% (1/28). Incisional wound infection in 5 cases, 2 cases of pulmonary infection, 2 cases of arrhythmia, urinary tract infection in 2 cases, fungal infection in 1 case, anastomotic fistula in 1 case, no ketoacidosis. Conclusions The elderly patients with colorectal cancer with diabetes mellitus have unfavorable factors for surgery. However, they emphasize that blood glucose should be controlled strictly during perioperative period, necessary gut preparation, rational use of antibiotics, rational operation time and anesthesia, effective nutrition Support, is an effective measure to obtain the ideal surgical treatment effect.