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食管贲门癌伴糖尿病的围手术期处理(附48例报告)
引用本文:蔡茂明,奚忠喜,冯向阳,姜寿银.食管贲门癌伴糖尿病的围手术期处理(附48例报告)[J].中国临床医学,2005,12(6):1027-1028.
作者姓名:蔡茂明  奚忠喜  冯向阳  姜寿银
作者单位:江苏省大丰市人民医院胸外科,大丰,224100
摘    要:目的:探讨合并糖尿病的食管贲门癌患者的外科治疗.方法:对1995年4月~2005年4月在我院进行手术治疗的48例合并糖尿病的食管贲门癌患者的临床资料作回顾性分析.结果:48例患者围手术期血糖控制范围:5.6~9.0mmol/L,尿糖: ~ .无手术死亡,无严重并发症,所有病例全部顺利渡过围手术期.结论:合理应用胰岛素,将血糖控制在一定范围,合并糖尿病的食管贲门癌患者能够安全渡过围手术期.

关 键 词:食管肿瘤  贲门肿瘤  糖尿病  围术期  胰岛素
文章编号:1008-6358(2005)06-1027-02

Surgical Treatment of Esophageal and Cardiac Carcinoma with Diabetes
CAI Maoming, XI Zhongxi ,FENG Xiangyang,et al..Surgical Treatment of Esophageal and Cardiac Carcinoma with Diabetes[J].Chinese Journal Of Clinical Medicine,2005,12(6):1027-1028.
Authors:CAI Maoming  XI Zhongxi  FENG Xiangyang  
Abstract:Objective: To investigate the management of surgical treatment of esophageal and cardiac carcinoma with diabetes. Methods: From April 1995 to April 2005,48cases of esophageal and cardiac carcinoma with diabetes were underwent operation in our hospital,their clinical date were analyzed retrospectively. Results: The blood glucose level of 48 cases was controlled between5. 6 mmol/L to 9. 0mmol/ L.the urine glucose was controlled between + to ++. There were no operative deaths.no serious complication during perioperative period. Conclusion:The patients of esophageal and cardiac carcinoma with diabetes can pass perioperative period safely if their blood glucose could be adjusted to a reasonable level by using insuline correctly.
Keywords:Esophageal neoplasms (carcinoma)  Stomach neoplasms(carcinoma)  Diabetes mellitus  Perioperative period  Insulin
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