摘要
目的:探讨原发甲状腺机能亢进症合并2型糖尿病患者围手术期处理。方法:对28例合并2型糖尿病的原发甲状腺机能亢进症手术患者术前、术后血、尿糖水平进行监测和控制的结果进行回顾性分析。结果:28例患者空腹血糖由入院时的11.80±2.48mmol/L降至手术前的5.86～8.12mmol/L及手术后的7.02±1.45mmol/L,尿糖由入院时阳性降至手术前阴性。所有患者术后均恢复良好,无1例发生糖尿病所致的并发症。结论:原发甲状腺机能亢进症合并2型糖尿病的患者经良好的血、尿糖控制渡过围手术期,是安全、有效的。
Objective:Discuss peri operative management of primary hyperthyroidism accompanied with type 2 diabetes mellitus.Methods:Analyze by reviewing the monitor and control of blood,urine sugar level of 28 patients with type 2 diabetes in primary hyperthyroidism surgery patients before and after surgery.Result:To control blood and urine sugar is safe and effective for the primary hyperthyroidism accompanied with type 2 diabetes mellitus patients to get well during the perioperative.
