摘要
目的探讨外科围手术期高血糖的特点及其处理。方法对2004~2008年五年内外科住院患者中153例围手术期高血糖患者进行回顾性分析。结果发病年龄平均58.2岁,术后发生肺部感染的有9例,尿路感染的有14例,并发切口感染的有10例,发生急性心功能不全的有3例,发生应激性溃疡的有4例,腹泻3例。发生低血糖者有7例,低血钾11例,低血钠18例。结论外科围手术期高血糖患者有一定的特点,外科医生应掌握这些特点并进行正确处理,才能更好地减轻患者痛苦,减少并发症。
Objective To investigate clinical characteristic and treatment of patients with hyperglycemia in perioperative period. Methods 153 cases with hyperglycemia in our hospital from 2004 to 2008 were retrospectively analyzed. Results Pulmonary infection and urinary tract infection occurred in 9 and 14 cases respectively after operation. Infection of incisional wound occurred in 10 cases. 7 patients were suffered hypoglycemia and 11 patients were suffered hypopotassemia in postoperative period. Conclusion Patients with hyperglycemia have special clinic characteristic in perioperative period. Surgeons sure familiar with these complication and treat them earlier.
出处
《中国实用医药》
2009年第25期51-52,共2页
China Practical Medicine
关键词
围手术期
高血糖
并发症
Hyperglycemia
Diabetes
Perioperative period
Complication