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有相当数量的糖尿病患者因外科疾病需手术治疗。我们认为不管糖尿病的严重程度如何或有无并发症,手术并不增加切口感染率和手术死亡率,但是糖尿病所引起的心、脑、肾组织内微血管和小动脉的病变会给手术及手术后带来相当大的危险。临床资料 5年来我们对24例需胰岛素或降糖药治疗的糖尿病患者进行了各种类型的手术,他们的空腹血糖量都在300毫克％以上。急诊手术占34％,其余为限期或择期手术。 24例中5例合并高血压或冠心病,4例合
A considerable number of diabetic patients require surgical treatment of surgical diseases. In our opinion, surgery does not increase incision infection and operative mortality, regardless of the severity of diabetes or its complications. However, the pathological changes of microvessels and arterioles in the heart, brain and kidney tissues caused by diabetes may give rise to surgery and surgery Bring about considerable danger. Clinical Data For the past five years, we performed various types of surgery on 24 patients with diabetes who required insulin or hypoglycemic agents. Their fasting blood glucose levels were above 300 mg. Emergency surgery accounted for 34%, the rest of the deadline or elective surgery. Among the 24 cases, 5 cases had hypertension or coronary heart disease, and 4 cases were combined