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有些需要手术的患者伴有不同类型的内分泌功能紊乱。在手术前后,应如何处理这类紊乱,是临床医生经常遇到的问题。本文拟对糖尿病、甲状腺功能亢进(甲亢)、甲状腺功能低下(甲低)及使用糖皮质激素引起的肾上腺皮质功能低减患者,在非内分泌手术时的处理问题作一综述。糖尿病生理美国现有600万糖尿病人,约50%在一生中须接收1次以上的手术治疗,其中75%的手术会在患者50岁后进行。由于病者多有糖尿病性血管及神经病变,术后伤口不愈合
Some patients in need of surgery are associated with different types of endocrine disorders. Before and after surgery, how to deal with such disorders, clinicians often encounter problems. This paper reviews the treatment of non-endocrine surgery in patients with diabetes mellitus, hyperthyroidism (hyperthyroidism), hypothyroidism (hypothyroidism) and patients with adrenal insufficiency caused by glucocorticoids. Diabetic Physiology The United States currently has 6 million diabetics, and about 50% of them have to undergo more than one surgical treatment in their lifetime. Of these, 75% will be performed after the age of 50. As patients with diabetic vascular and neuropathy, postoperative wounds do not heal