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目的探讨老年胃癌合并糖尿病患者围手术期处理。方法回顾性分析2007年12月至2011年11月我院治疗的80例老年胃癌合并糖尿病患者的临床记录资料。结果所有患者均安全度过围手术期,术后共有18例患者出现并发症,其中切口裂开6例,心律失常8例,肺部感染3例,泌尿系感染1例,经过妥善处理,均顺利出院。结论在围手术期严格控制患者的血糖水平,防止局部感染及重视营养支持等是促进老年胃癌合并糖尿病患者顺利度过围手术期的有效措施。
Objective To investigate the perioperative management of elderly patients with gastric cancer complicated with diabetes mellitus. Methods The clinical records of 80 elderly patients with gastric cancer complicated with diabetes who were treated in our hospital from December 2007 to November 2011 were retrospectively analyzed. Results All patients were perioperatively safe. A total of 18 patients had postoperative complications including 6 incisions, 8 arrhythmias, 3 pulmonary infections and 1 urinary infection. After proper treatment, Smooth discharge. Conclusion Perioperative strict control of patients with blood glucose levels, prevention of local infection and emphasis on nutritional support is an effective measure to promote the successful perioperative period of elderly patients with gastric cancer complicated with diabetes mellitus.