期刊文献+

心脏病合并糖尿病病人体外循环术后并发症的治疗体会 被引量:3

Treatment experience of complications after extracorporeal circulation for cardiac surgery in patients with diabetes
暂未订购
导出
摘要 目的探讨合并糖尿病的心脏病病人体外循环术后控制血糖对并发症治疗的意义。方法定期监测血糖,行血气分析,调整酸碱及电解质平衡,应用胰岛素控制血糖在15 mmol/L以下。结果手术后出现严重并发症的病人均治疗成功,治愈出院。结论在糖尿病病人的心脏手术中,有效的控制血糖,可以提高治愈率。 Objective To explore effect on complications after extraeorporeal circulation by controlled blood glucose for cardiac surgery in patients with diabetes. Methods Monitored blood glucose and blood gas at regular time, adjusted acid - base and electrolyte balance, The insulin was infused to control the blood glucose under 15mmol/L. Results All patients with severe surgical complications were discharged from hospital after recovery. Conclusion By effectually controlled blood glucose for cardiac surgery in patients with diabetes, we would prevent the complications, improve the cure rate.
出处 《河南外科学杂志》 2012年第4期2-3,共2页 Henan Journal of Surgery
关键词 心脏病 糖尿病 体外循环 Cardiopathy Diabetes Extraeorporeal circulation
  • 相关文献

参考文献9

  • 1Hugo JM, ocker DB. Routine peri - operative management of the diabetic patient[J]. S Afr J Surg,1992,30(3) :85 -89.
  • 2O' Brien,DJ, Alexander. Postoperative management of the adult cardiac surgery patient E J]. Critical caxe, 1997,3 : 1 147 - 1 175.
  • 3Davies MG, Hagen PO. Alteration in venous endothelial cell and smooth muscle cell relation induced by high glucose concentra- tions can be prevented by aminoguanidine [ J ]. J Surg Res, 1996,63:474 -479.
  • 4Kawai N, Stummer W, Ennis SR, et al. Blood brain barrier glu- tamine transportduring normoglycemic and hyperglycemic focal cerebral ischemia [ J ]. Cereb Blood Flow Metab, 1999,19 : 79 - 86.
  • 5Jonassen AK, Aasum E, Riemersma RA, et al. Glucose - insu- lin- potassium reduces infarct size when administered during reperfusion[ J ]. Cardiovase Drugs Ther, 2000,14 ( 6 ) : 615 - 623.
  • 6Kang PM, Haunstetter A, Aoki H, et al. Morphologic and mo- lecular characterization of aduhcardiomyocyte apoptosis during hypoxia and reoxygenation [ J ]. Circulation Research, 2000,87 (2) :118 -125.
  • 7Lanier WL. Glucose management during cardiopulmonary by- pass : Cardiovascular and neurologicalimplication [ J ]. Anesth Analg, 1991,72:423 - 427.
  • 8Fumary AP, Zerr KJ, Gnmkemeier GL, et al. Continuous intra- venous insulin infusion reduces theincidence of deep sternal wound infection in diabetics patients after cardic surgical proce- dures [ J]. Ann Thorac Surg 1 999,67:352- 62.
  • 9Mangano CM, Diamondstone LS, Ramsey JG , et al. Renal dys- function after myocardialrevascularization: risk factor, adverse outcomes, and hospital resource utilization- The Muhicenter Study of Perioperative Ischenia Research Group[ J ]. Ann Intern Med ,1998,12 (8):194-203.

同被引文献29

  • 1韩广彦,贾金华.机械通气病人的呼吸道管理[J].护理实践与研究,2005,2(1):18-19. 被引量:15
  • 2徐懿,李月华.糖尿病合并冠状动脉粥样硬化性心脏病的发病及其相关特征[J].中国临床康复,2006,10(20):130-132. 被引量:18
  • 3杨晓晖,吕仁和.糖尿病心脏病的中医分期辨治探讨[J].北京中医,2006,25(7):403-405. 被引量:24
  • 4陈琼英,朱少慧,杨聪秀.妊娠合并心脏病106例的护理体会[J].中国医药导报,2007,4(07S):75-76. 被引量:9
  • 5HASHEMZADEH K,HASHEMZADEH S.Predictors and outcome of gastrointestinal complications after cardiac surgery[J].Minerva Chir,2012,67(4):327-335.
  • 6SEVER K1,OZBEK C,GOKTAS B,et al.astrointestinal complications after open heart surgery:incidence and determinants of risk factors[J].Angiology,2014,5(5):425-429.
  • 7RODRIGUEZ R,ROBICH MP,PLATE JF,et al.Gastrointestinal complications following cardiac surgery:a comprehensive review[J].J Card Surg,2010,25(2):188-197.
  • 8MANGI AA,CHRISTISON-LAGAY ER,TORCHIANA DF,et al.Gastrointestinal complications in patients undergoing heart operation:an analysis of 8709 consecutive cardiac surgical patients[J].Ann Surg,2005,241(6):895-901.
  • 9Giakoumidakis K,Nenekidis I,Brokalaki H.The correlation between peri-operative hyperglycemia and mortality in cardiac surgery patients:a systematic review[J].Eur J Cardiovasc Nurs,2012,11(1):105-113.
  • 10Demen P,Elkouti S,Martineau R,et al.Outcome with high blood lactate levels during cardiopulmonary bypass in adult cardiac surgery[J].Ann Thorac Surg,2000,70(6):2082-2086.

引证文献3

二级引证文献27

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部