糖尿病患者围手术期的处理

The Foundation Years Pub Date : 2008-10-01 DOI:10.1016/j.mpfou.2008.07.003

Andrew P. Hall, Melanie J. Davies

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引用次数: 0

摘要

糖尿病(DM)是普通人群中一种非常常见的疾病。它在外科住院患者中更为常见，因为它的许多并发症导致对手术的需求增加，特别是血管、肾脏和眼科手术。基础医生可能会对这些病人进行评估，并为他们做麻醉和手术准备。对于需要全膝关节置换术的肥胖老年2型糖尿病患者(T2DM)，或因炎症性肠病需要开腹手术的年轻1型糖尿病患者(T1DM)，需要什么样的治疗方案?

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Peri-operative management of the patient with diabetes

Diabetes mellitus (DM) is a very common condition in the general population. It is even more common in the surgical inpatient population, due to its many complications leading to an increased need for surgery, particularly vascular, renal and ophthalmic procedures. A foundation doctor may be expected to assess such patients and prepare them for anaesthesia and surgery. What sort of management plan might be required for an obese elderly type 2 diabetic (T2DM) requiring a total knee replacement, or a young type 1 diabetic (T1DM) requiring a laparotomy for inflammatory bowel disease?

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