| 妇科疾病合并糖尿病的围手术期处理 |
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| 引用本文： | 齐红岩,张儒英,其木格.妇科疾病合并糖尿病的围手术期处理[J].内蒙古医学院学报,2008,30(3). |
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| 作者姓名： | 齐红岩 张儒英 其木格 |
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| 作者单位： | 内蒙古医学院附属医院,妇产科,内蒙古,呼和浩特,010050 |
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| 摘 要： | 目的:探讨妇科疾病合并糖尿病病人的围手术期处理原则,减少并发症的发生.方法:回顾性分析78例妇科疾病合并糖尿病病人的临床资料.结果:全部病例术后24h内血糖均高于术前,其中全麻及手术时间120min以上对血糖的影响分别明显大于连续硬膜外麻醉及手术时间120min以下者,术后并发症发生率15.4%(12 /78),以肺部感染和泌尿系感染为主,经治疗全部恢复.结论:糖尿病病人术前要做全面检查并积极控制血糖至理想水平.手术麻醉宜选用硬膜外麻醉,手术时间最好控制在120min,给予术后镇痛,术后禁食期间要给予支持治疗并补钾,促进切口愈合,同时加强易感染部位的护理,使糖尿病病人安全度过围手术期.
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| 关 键 词： | 糖尿病 妇科疾病 围手术期 |
PERIOPERATIVE MANAGEMENT OF GYNECOLOGICAL DISEASES COMPLICATED WITH DIABETES |
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| QI Hong-yan,ZHANG Ru-ying,QI Mu-ge.PERIOPERATIVE MANAGEMENT OF GYNECOLOGICAL DISEASES COMPLICATED WITH DIABETES[J].Acta Academiae Medicinae Neimongol,2008,30(3). |
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| Authors: | QI Hong-yan ZHANG Ru-ying QI Mu-ge |
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| Institution: | Department of Obstetrics and Gynecology;Affiliated Hospital;Inner Mongolia Medical College;Hohhot 010050 China |
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| Abstract: | Objective:To discuss the principles of the perioperative management of gynecological patients with diabetes,so as to reduce the complications as possible.Methods:The clinical data from 78 gynecological patients with diabetes undergoing gynecological operation in our hospital were analyzed retrospectively.Results:The blood sugar levels of 78 patients increased within 24h after operation.Effects of general anesthesia with operation time longer than 120min on the blood sugar levels of patients were more signif... |
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| Keywords: | diabetes gynecological disease perioperative period |
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