摘要
目的 观察胆道疾病合并糖尿病的外科治疗效果。方法 对 1990~ 2 0 0 0年经外科治疗的 5 4例胆道疾病合并糖尿病病人进行回顾性分析。结果 7例因急症手术而未能获得术前血糖水平 ,其余 4 7例均择期手术 ,术后并发胆汁漏 7例 ,切口感染 4例 ,胆道出血 2例 ,应激性溃疡 3例 ,腹腔脓肿 3例 ,肺内感染 4例 ,下肢静脉血栓形成 1例 ,2例并发多器官功能衰竭死亡 ,其余均经对症处理治愈。术后平均住院 2 5d痊愈出院。结论 糖尿病高血糖是术后并发症发生的主要形成因素 ,围手术期严格控致血糖 ,是降低并发症发生率和死亡率的关键。
Objective To observe the curative effects of surgical treatment on biliary tract disease complicated with diabetes.Methods Retrospective analyses of the surgical treatment of 56 cases of biliary tract disease from 1990 to 2000 were made in this literature.Results 7 cases failed to have their blood sugar measured because of their emergency treatments.All the other cases underwent selective surgical treatments.The complications were as follows:postoperative bile leakage in 7 cases;incision infection in 4 cases;biliary tract hemorrhage in 2 cases,stress ulcer in 3 cases;abdominal abscess in 3 cases;intrapulmonary infection in 4 cases;phlebothrombosis of legs in 1 case and functional failure of organs in 2 cases.Expectant treatments were made in the remaining cases.The average hospitalization time was 25 days.Conclusion Hyperglycemia is the leading cause of the postoperative complications.The strict control of blood sugar in the perioperative period is the key to the reduction of the incidence of complications and the deat rate.
出处
《临沂医学专科学校学报》
2003年第5期335-336,共2页
Journal of Linyi Medical College
关键词
胆道疾病
糖尿病
术后并发症
围手术期
Biliary tract disease
Diabetes
Postoperative complication
perioperative period