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目的 :探讨高血糖大肠癌病人围手术期的处理方法。方法 :对 1 997～ 2 0 0 2年外科治疗的 70例高血糖大肠癌 (空腹血糖大于 6 .1 m mol/ L )病人作回顾性分析。结果 :70例病人均作择期手术 ,术后并发症发生率 :吻合口瘘占 8.8% (3/ 34) ,切口感染2 0 .6 % ,肺部感染、泌尿系感染均为 2 .9%。无酮症酸中毒发生 ,无手术死亡。术后平均住院 1 9d。结论 :高血糖大肠癌病人的外科治疗必须作好围手术期处理。只要严格控制血糖、选择合理的术式和时机就完全可以达到理想的外科治疗效果
Objective: To investigate the perioperative management of patients with high blood glucose and colorectal cancer. Methods: A retrospective analysis was performed on 70 patients with hyperglycemic colorectal cancer (fasting blood glucose> 6.1 mol / L) treated surgically from 1997 to 2002. Results: Seventy patients underwent elective surgery. The incidence of postoperative complications was 8.8% (3/34) for anastomotic fistula, 20.6% for incision infection, 2.9% for pulmonary infection and urinary tract infection, . No ketoacidosis, no operative death. The average postoperative hospitalization 1 9d. Conclusion: Surgical treatment of patients with hyperglycemic colon cancer must be treated perioperatively. As long as the strict control of blood glucose, choose a reasonable surgical procedures and timing can achieve the desired surgical treatment