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目的 探讨大肠癌围手术期糖尿病的影响及处理。方法 对63例大肠癌并存糖尿病患者围手术期诊断与治疗进行回顾性分析。结果 63例病人均行择期手术,糖尿病以2型多见,术后并发症发生率:切口感染13例(206%),吻合口瘘3例,骶前积脓2例,肺部感染2例,腹腔脓肿1例,泌尿系感染3例,高渗性非酮症昏迷2例并随后死亡,酮症酸中毒1例,术后平均住院23d。结论 糖尿病可增加大肠癌患者围手术期并发症的发生,严格控制围手术期血糖,选择合理术式,有利于安全渡过围手术期
Objective To explore the effect and treatment of perioperative diabetes in colorectal cancer. Methods The perioperative diagnosis and treatment of 63 patients with colorectal cancer coexisting with diabetes were retrospectively analyzed. RESULTS: Sixty-three patients underwent elective surgery. Type 2 diabetes was more common. Incidence of postoperative complications: Incision infection in 13 cases (206%), Anastomotic fistula in 3 cases, Presurgery empyema in 2 cases, Pulmonary infection in 2 cases. 1 case of abdominal abscess, 3 cases of urinary tract infection, 2 cases of hyperosmolar non-ketotic coma and subsequent death, 1 case of ketoacidosis, postoperative hospital stay for an average of 23 days. Conclusion Diabetes can increase the incidence of perioperative complications in patients with colorectal cancer, strictly control the perioperative blood glucose, and choose a reasonable surgical method, which is conducive to the safe use of perioperative period