摘要
目的:探讨老年人胆囊结石合并糖尿病的外科治疗措施。方法:对我院1998年1月～2004年4月外科治疗的55例老年胆囊结石合并糖尿病人作回顾性的分析。结果:55例病人中,46例择期手术,空腹血糖控制在7.0～10.0mmol/L;9例急诊手术,空腹血糖控制在8.3～13.9mmol/L。术后并发症发生率:切口感染3例(5.45%),心律失常4例(7.27%),泌尿系感染2例(3.63%),肺部感染1例(1.81%)。无酮症酸中毒,无死亡病例。结论:对老年胆囊结石合并糖尿病者只要围手术期严格控制血糖,选择合理的手术时间及麻醉方式,完全可以达到理想的外科治疗效果。
Objective To investigate the surgical treatmeat for elderly patients with cholelithiasis associated with diabetes mellitus . Methods From Jan.1998 to Apr .2004 ,55 elderly patients with cholelithiasis associated with diabetes mellitus undergoing surgical treatment were retrospectively studied . Results Of the 55 patients ,46 cases were subjected elective operations. Fasting blood-glucose concentration was controlled between 7.0～10.0mmol/L ;The remaining 9 cases received emergency operations. Fasting blood-glucose concentration was controlled between 8.3～13.9mmol/L.The morbidity of postoperative complications:wound infection in 3 cases (5.45%) ,cardiac arrhythmias in 4 cases (7.27%) ,uninary tract infection in 2 cases (3.63%) and pneumonia in 1 case (1.81%). There was no postoperative diabetic ketoacidosis and operative death. Conclusion If the elderly patients' blood-glucose concentration perioperatively could be controlled ,the opportunity of operation and anesthesia selected reasonably ,the effect of surgical treatment on cholelithiasis associated with diabetes would be very gratified.
出处
《安徽卫生职业技术学院学报》
2004年第3期28-29,35,共3页
Journal of Anhui Health Vocational & Technical College
关键词
老年人
胆囊结石
糖尿病
手术期间
the aged
cholelithiasis
diabetes mellitus
intraoperative period
