摘要
目的:探讨外科急腹症合并糖尿病诊治中的风险及处理策略。方法:结合文献资料回顾性分析我院20年间对180例外科急腹症合并糖尿病的诊治经过。结果:非手术治疗23例,均治愈出院;急诊手术158例,术后合并切口感染26例,切口裂开11例,肺部感染10例,泌尿系感染6例,死亡6例。结论:要警惕外科急腹症合并糖尿病的存在及其风险因素,合理评估患者状况,理性制订治疗策略,规避和减少并发症,降低外科急腹症手术和诊治风险,提高治愈率。
Objective： To discuss in the risk and strategy in diagnosis and treatment of surgidal abdomen complicated with diabetes mellitus. Methods： The clinical data of 180 cases of surgical abdomen complicated with diabetes mellitus in our hospital in recent 20 years were retrospectively analyzed. Results： All of 23 cases without surgery were cured. Of 158 cases with emergency surgery, 26 cases complicated with infection of incision wound, 11 with disruption of wound, 10 with pulmonary infection, 6 with urinary infection and 6 died. Conclusion： The condition of surgical abdomen complicated with diabetes mellitus should be waried. Proper evaluation of condition, rational therapeutic strategy, lessening complications and risk for surgical abdomen and improving cure rate should be recommended.
出处
《内蒙古医学杂志》
2007年第6期689-692,共4页
Inner Mongolia Medical Journal
关键词
外科急腹症
糖尿病
诊治风险
Surgical abdomen
Diabetes mellitus
Risk of diagnosis and treatment
