摘要
目的探讨合并糖尿病的食管贲门癌患者围手术期的处理方法。方法回顾性分析了2002～2006年在中山大学肿瘤防治中心行开胸手术治疗的合并糖尿病的食管癌贲门癌患者38例围手术期的处理和术后并发症的发生情况。结果 38例合并糖尿病的食管贲门癌患者肝损害占39.5%,电解质紊乱占65.8%,心律失常占81.6%,感染占31.6%,吻合口瘘占27.8%,低蛋白血症占63.2%;术后血糖控制良好组(术后血糖<11.1mmol/L)明显降低了电解质紊乱、感染和吻合口瘘的发生率(P<0.05)。结论合并糖尿病的食管贲门癌患者围手术期的并发症相对较高,严格控制围手术期的血糖,可以减少围手术期并发症的发生。
Objective To investigate the perioperative treatment in esophagocardial carcinoma patients with diabetes mellitus. Methods The clinical data were collected from 38 cases of esophagocardial cacinoma patients with diabetes mellitus who undergo thoracotomy in Cancer Center of Sun Yat-sen University between Jan 2002 and Dec 2006 and their perioperative management and the incidence of postoperative complications were analyzed. Results Liver damage accounted for 39.5% ,electrolyte disorders accounted for 65.8%, arrhyth- mia accounted for 81.6% ,infection accounted for 31.6% ,anastomotic leakage accounted for 27.8% and hy- poproteinemia accounted for 63.2% in 38 cases of esophagocardial carcinoma patients with diabetes meliitus.The incidence of infection, electrolyte disorders and anastomotic leakage in controlling blood glucose group was lower than that of the high blood glucose group （ P 〈 0.05 ）. Conclusion The incidence of complications is high in esophagocardial carcinoma patients with diabetes mellitus. Controlling blood glucose in perioperative period can obvious reduce perioperative complications.
出处
《咸宁学院学报（医学版）》
2012年第4期292-295,共4页
Journal of Xianning Univarsity(medical Sciences)
关键词
糖尿病
食管贲门癌
围手术期
Diabetes mellitus
Esophagocardial carcinoma
Perioperative period
