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《CHINESE JOURNAL OF PRACTICAL SURGERY》 1999-03
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Characteristics and perioperative management of associated diabetes mellitus in the surgical patients.

Lei Daoxiong,Ai Zhongli,Liu Zhishu.Department of Surgery,the Second Affiliated Hospital,Hubei Medical University,Wuhan 430071  
Objective\ To determine the safe method of perioperative glycemic control in diabetic patients during surgery.Methods\ 67 cases of diabetic patients underwent various surgical procedures were retrospectively analyzed.Results\ The associated diabetes occurred frequently in type Ⅱ elderly patients(71 6%).8 cases were missed diagnosis owing to the insidious diabetic courses,3 cases encountered postoperative hypoglycemic come and 1 case died of hyperosmolar nonketotic coma.Conclusion\ Intravenous regular insulin administration during perioperative period was an effective and safe method for management of the diabetic patients.
【Key Words】: Diabetes mellitus\ Insulin\ Hyperosmotic nonketonic coma
【CateGory Index】: R619,R587.1
【DOI】: CNKI:SUN:ZGWK.0.1999-03-010
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