Perioperative management of diabetes.doc

 PAGE \* MERGEFORMAT 8 Perioperative management of diabetes [Abstract] Objective To investigate the surgical patients diabetes mellitus Perioperative management of the correct approach. Methods 32 patients with diabetes mellitus in surgical patients, perioperative control of blood glucose were analyzed retrospectively. Results of this group underwent emergency surgery in 8 cases, elective surgery 24 patients , post-operative complication rate 18.8% (6/32.1 deaths. Conclusion regular insulin to control blood sugar diabetes mellitus surgical perioperative patient safety through effective measures. [Keywords:] Perioperative Insulin Diabetic patients need surgical treatment of surgical diseases, if not handled properly perioperative, diabetes can lead to deterioration of the safety of surgery and surgical recovery led to serious complications or even death [1]. Properly handle all kinds of complications, flexible use of insulin to control blood sugar, to obtain the desired results .1999 ~ 2009 we were treated diabetic patients with surgical disease, 32 cases reported as follows: 1 Clinical data 1.1 General information: The group of 32 patients, 20 males and 12 females, aged 21 to 72 years for the I-1 case of diabetes, the remaining 31 cases of type II diabetes, and in the risk of surgical diseases has been confirmed. Where the first 12 patients cases of diet therapy, oral hypoglycemic agents in 18 cases, 2 cases of subcutaneous insulin control treatment. 1.2 disease and surgical methods 8 cases of emergency surgery in this group. Which duodenal perforation in 3 cases partial gastrectomy, cholecystectomy for acute cholecystitis, 3 cases of acute obstructive suppurative cholangitis, common bile duct decompression line T tube drainage 1 case of splenic rupture underwent emergency splenectomy in 1 case. elective surgery of 24 cases. in which the upper right lung line of right upper lung resection in 2 cases, the right thyroid tumor line of t