摘要
对于胰腺恶性肿瘤或弥漫性病变、重度慢性胰腺炎患者,目前临床主要采用全胰腺切除术进行治疗,此类人群术后出现胰源性糖尿病,血糖波动大,易出现反复低血糖。术后并发症与血糖水平密切相关,因而良好的血糖控制对于提高患者生存率至关重要。既往对全胰腺切除术后患者的血糖情况,我国仅有少数或个案报道。本文主要阐述全胰腺切除术后患者的血糖特点、相关并发症及治疗的研究进展。
Total pancreatectomy has been mainly used to treat malignant diseases of the pancreas,diffuse ductal involvement,and severe chronic pancreatitis. Patients may develop pancreatic diabetes after the surgery,in whom the glucose levels fluctuate widely and are hard to control,which increases the incidence of recurrent hypoglycemia. Postoperative complications are closely associated with the glucose levels. Thus,tighter glycemic management is essential for increasing the survival of these patients. Few cases have been discribed in China.In this article,we reviewed the blood glucose features,peri- and post-operative complications,and clinical treatment for patients undergoing total pancreatectomy.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2016年第6期726-730,共5页
Acta Academiae Medicinae Sinicae
关键词
全胰腺切除术
胰腺手术
胰源性糖尿病
血糖控制
术后并发症
total pancreatectomy
pancreatic surgery
pancreatic diabetes
glycemic control
postoperative complications
