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老年胆石症合并糖尿病45例围手术期处理
引用本文:孙举来,赵中伟,崔杰.老年胆石症合并糖尿病45例围手术期处理[J].中国冶金工业医学杂志,2006,23(6):650-651.
作者姓名:孙举来  赵中伟  崔杰
作者单位:马鞍山市中心医院普外三科,安徽,马鞍山,243000
摘    要:目的:探讨老年胆石症合并糖尿病的外科治疗方法及效果。方法:回顾性分析我科2000年1月至2006年1月手术治疗的45例60岁以上老年胆石症患者的情况。结果:急诊手术12例、择期手术33例;治愈39例、好转6例;术后发生并发症10例(占22.2%)。无酮症酸中毒发生。结论:做好围手术期的处理厦合理选用手术方式是治疗成功的关键。

关 键 词:胆石症  糖尿病  外科手术
文章编号:1005-5495(2006)06-0650-02
收稿时间:2006-06-07
修稿时间:2006年6月7日

The preoperative management of 45 cholelithiasis in the elderly patients associated with diabetes mellitus
SUN Ju-lai,ZHAO Zhong-wei,CUI Jie.The preoperative management of 45 cholelithiasis in the elderly patients associated with diabetes mellitus[J].Chinese Medical Journal of Metallurgical Industry,2006,23(6):650-651.
Authors:SUN Ju-lai  ZHAO Zhong-wei  CUI Jie
Abstract:Objective:To study the method and effect on the surgical treatment of cholelithiasis in elderly patients associated with diabetes mellitus.Methods:The features and the surgical treatment of cholelithiasis in 45 elderly patients associated with diabetes mellitus from Jan 2000 to Jan 2006 were analyzed retrospectively.Results:Of all 45 cases,12 cases underwent emergency operations and 33 cases received elective operations;39 patients were cured and 6 patients were improved,no case died;the postoperative complications were found in 10 cases,the morbidity rate was 22.2% and no ketonemia occurred.Conclusions:The key to the treatment was good preoperative management and proper way of operation.
Keywords:Cholelithiasis  Surgery operation  Diabetes mellitus
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