摘要
目的:探讨探讨糖尿病并发急性胰腺炎的病因、诊断及治疗效果,提高临床诊治水平。方法:收治糖尿病并发急性胰腺炎患者38例,均检测随机血糖、血尿淀粉酶。及时给与胰岛素治疗和乌司他汀10万U,溶于10%葡萄糖250ml静滴,1次/12小时,奥曲肽治疗,0.6mg/24小时持续静滴,连用5~7天,根据临床需要,需要时进行手术治疗。结果:治疗前血糖12.33±6.88mmol/L,血淀粉酶1080±320U/L,尿淀粉酶2460±456U/L,治疗后血糖7.36±2.13mmol/L,血淀粉酶310±205U/L,尿淀粉酶550±320U/L,治疗前后比较差异有显著性(P<0.05)。结论:糖尿病并发急性胰腺炎死亡率高,时用胰岛素治疗,可以减少术后感染,减少术后死亡率。
Objective:To investigate the etiol- ogy, diagnosis, and treatment effects of dia- betes complicated by acute pancreatitis and improve the level of clinical diagnosis and treatment. Method:collected in our hospital from January 2010 to November 2012, the treatment of 38 patients with diabetes and a- cute pancreatitis patients, detect random blood sugar, urine amylase. Timely to give insulin therapy and ulinastat, 100000 U, was dissolved in 10% glucose 250ml intra- venous infusion, 1/12 hours, octreotide treat- ment, 0. 6mg/24 hour continuous intrave- nous infusion, once every 5 to 7 days, ac- cording to clinical need, the need for surgi- cal treatment. Results : Before treatment, blood glucose 12.33 ± 6.88retool/L, serum amylase 1080 ± 320U/L, urine amylase 2460 ± 456U/L after treatment, blood glu- cose 7.36 ± 2. 13mmol/L, serum amylase 310 ± 205U/L, urine amylase 550± 320u/ L, before and after treatment were significantdifferences( P 〈 O. 05 ). Conclusion : diabetes and acute pancreatitis high mortality when treated with insulin, can reduce postopera- tive infection, reduce postoperative mortali- ty.
关键词
糖尿病
急性胰腺炎
diabetes
acute pancreatitis