关键词: 糖尿病, 围手术期处理

Abstract: 【Abstract】〓Objective〓To report the perioperative experience in handling the diabetic patients underwent gastrointestinal surgery...Methods〓During May 2009 to February 2013,.the perioperative treatment of 63 cases accepted gastrointestinal surgery combined diabetic patients were retrospectively analyzed..The hyperglycemia univariate were compared against surgical complications and mortality. The clinical significance of glycemic control were assessed....Results〓Among the 63 cases,.elective surgery were 11 cases, the deadline for surgery were 45 cases and seven cases were emergency surgery. Cure rate were 88.30% (55/63), improvement rate of were 9.52% (6/63),.the fatality rate were 3.17%.(2/63)..Most surgical complications were associated with post-operative infection,.accounting for 68.00% (17/25),.the incision infection were the most common,.followed by urinary tract infections and lung infections. The most serious complications were postoperative sepsis,.high sugar hyperosmolar nonketotic coma, ketoacidosis and cardiopulmonary dysfunction..Perioperative patient deaths were associated with these complications....Conclusion〓Diabetes increases the risk of gastrointestinal surgery,.prone to complica-tions..To perioperative correctly grasp, the principles and methods of treatment will benefit the patient to smooth out the surgery. And the incidence of postoperative complications may be greatly reduced.

Key words: Diabetes mellitus, Perioperative management