糖尿病与胰岛素细胞瘤病人的麻醉（Diabetes mellitus and anesthesia for patients with insulin cell tumor）.docVIP

糖尿病与胰岛素细胞瘤病人的麻醉（Diabetes mellitus and anesthesia for patients with insulin cell tumor） There are many reasons or disorders causing glucose metabolism disorder, which is manifested as hyperglycemia or hypoglycemia. Such as increased cortisol, pheochromocytoma, hyperthyroidism, trauma, surgery and other stress state can appear elevated blood sugar, insulinoma caused by hyperinsulinemia, leading to decreased blood sugar. Diabetes mellitus is one of the reasons for the increasing incidence of perioperative complications. It is reported that the perioperative mortality rate of patients with diabetes mellitus is 5 times higher than that of non diabetics, which is closely related to diabetic complications. Therefore, preoperative knowledge should be fully understood, preoperative evaluation and preoperative preparation should be carried out, appropriate anesthesia methods and anesthetic drugs should be selected to ensure that patients can pass the operation and anesthesia safely and safely. First diabetes patients anesthesia Diabetes is caused by absolute or relative lack of insulin and different degree of insulin resistance syndrome caused by carbohydrate, fat and protein metabolism, is a chronic systemic disease with hyperglycemia and / or diabetes characteristics. Patients with advanced diabetes mellitus may exhibit extensive microcirculation and major vascular diseases, leading to blindness, kidney damage, acral necrosis, cardiovascular and cerebrovascular diseases, etc.. In patients with diabetes, anesthesia and surgery can aggravate the condition, while patients with serious or unsatisfactory preoperative control may suffer from diabetic ketoacidosis, circulatory failure, or even death. It is estimated that the incidence of diabetes accounts for 2%~5% of the general population, of which about 50% of diabetic patients require surgery and anesthesia. Therefore, it is necessary to know the pathophysiological changes of diabetes mellitus, understand the characteristics o