胃癌合并糖尿病手术期处理的临床观察.pdfVIP

Stomach Cancer with Diabetes Mellitus Perioperative Period of Clinical Observation Speciality: Main hospital in shandong province Author:Zhou Jun Tutor: Professor. Liu Aiwu. Abstract Purpose: this topic to apply the method of clinical observation and record of stomach cancer patients with diabetes mellitus perioperative management way into the system to collect and arrangement, thus summed up the incidence of postoperative complications can reduce, make patient safety for perioperative treatment. Methods: 31 cases of gastric cancer patients with diabetes mellitus preoperative diet management, control blood sugar, postoperative close observation of the condition changes and blood sugar control, reasonable use of antibiotics, strengthen nutrition and bed nursing, preventing anastomotic fistula and infection. Results: 31 cases wound infection occurred after 3 cases. Lung infection have in 1, and anastomosis (0 example, TongZheng acidosis happen without diabetes. An average of 26 days in hospital patients, smoothly through the perioperative. Conclusion: Stomach cancer patients with diabetes mellitus through full of preoperative preparation, in the perioperative strict control blood sugar, reasonable nutrition support, effectively prevent infection, maintain homeostasis, is the ideal stomach surgery curative effect is can realize. Key words diabetes; Stomach cancer; Perioperative; The postoperative complications. 目 录 引 言 3 临床观察及分析 4 1 病例来源4 2 胃癌合并糖尿病患者的诊断标准4 3 纳入标准4 4 排除标准4 5 临床资料与方法5 5.1 一般资料5 5.2 方法：5 6.结果 7 讨 论 8 1.入院明确诊断，所需血糖的目标 8 1.1诊断需明确： 8 1.2血糖目标： 8 2.术前处理 8 2.1术前心理指导 8 2.2 术前饮食指导9 2.3 术前血糖控制9 3.术中处理 10 4.术后处理