摘要
目的:探讨泌尿外科患者并发糖尿病围手术期处理原则。方法:对34例并发糖尿病的泌尿外科患者围手术期诊断与治疗进行回顾性分析。结果:急诊手术3例,择期手术31例,术后发生切口感染4例,肺部感染1例,尿路感染1例,并发症发生率17.6%(6/34)。无酮症酸中毒及高渗非酮症性昏迷,无手术死亡。结论:利用正规胰岛素有效控制血糖是糖尿病人安全度过围手术期的有效措施,血糖检查做为监测手段。
Objective： To discuss the perioperative management of associated diabetes mellitus in the urologic patients. Method： 34 cases of diabetic patients undergoing various surgical procedures were retrospectively analyzed. Resluts： 3cases did emergency operation,others selective operation. There were 4 cases on infection of incisional wound,1 case of pulmonary infection and 1 case on urinary tract infection after operation.No patient had ketoacidosis and hyperosmolar nonketotic diabetic coma.They did not die of operation as well..The complication is 17.6 percent（6/34）. Conclusions： Strict blood glucose control and reasonable in insulin administration is the key to safely pass perioperative period. Blood glucose determination should be monitoring ways in the urologic patent.
出处
《中国伤残医学》
2006年第2期26-28,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
糖尿病
胰岛素
围手术期
泌尿外科
Diabetes mellitus
Insulin
Perioperative period
Urologic surgery
