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目的探索老年急腹症患者合并糖尿病时围手术期处理的安全措施。方法回顾性分析濮阳市第三人民医院93例合并糖尿病的老年急腹症患者围手术期治疗经验。结果术后并发死亡3例,切口感染6例,切口裂开3例,腹腔脓肿1例,肺部感染3例,尿路感染4例。结论合理控制血糖,选择简洁有效的术式,维持重要脏器功能及内环境的稳定,合理应用抗生素,可降低急诊手术风险、减少术后并发症率。
Objective To explore the safety measures of perioperative management in elderly patients with acute abdomen with diabetes. Methods A retrospective analysis of 93 cases of elderly patients with acute abdomen with diabetes mellitus in Puyang Third People ’s Hospital during perioperative treatment. Results The postoperative deaths occurred in 3 cases, incision infection in 6 cases, incision in 3 cases, abdominal abscess in 1 case, pulmonary infection in 3 cases and urinary tract infection in 4 cases. Conclusion The rational control of blood glucose, choose a simple and effective surgical procedures to maintain the function of vital organs and the stability of the internal environment, rational use of antibiotics, can reduce the risk of emergency surgery and reduce postoperative complications.