摘要
目的 :探讨老年胃癌合并糖尿病围手术期的处理。方法 :回顾性分析 1992年 1月至2 0 0 2年 5月外科治疗的 5 0例合并Ⅱ型糖尿病老年胃癌患者。结果 :37例患者均行择期手术 ,无手术死亡。术后共发生各类并发症 2 3例次 ,吻合口漏 2例和因并发酮症酸中毒死亡 1例。等严重并发症 ,所有病人均安全渡过围手术期。结论 :严格控制血糖和尿糖对于老年胃癌合并糖尿病病人安全渡过围手术期是非常重要的。
Objective: To discuss the management of diabetes mellitus in perioperative period of gastrocarcinoma in eldly patients. Methods: From 1992～2002, 50 eldly patients of gastro -carcinoma with diabetes mellitus who underwent operations in our hospital were analysed retrospectively. Results: 50 cases underwent elective operations,the morbidity of postoperative complications were 23 cases. 2 cases suffer anastomotic leak and one died of postoperative diabetic ketoaeidosis. Conclusions: It is very important to control blood glucose and urine to normal level for eldly patients with gastrocarcinoma and diabetes mellitus in perioperative period.
出处
《河北医学》
CAS
2003年第1期49-50,共2页
Hebei Medicine
