【摘要】 目的 明确合并糖尿病的创伤患者外科围手术期血糖控制的安全方法。方法 对50例并存糖尿病的创伤患者的围手术期诊断与治疗进行回顾性分析。结果 糖尿病以2型多见,多见于年长者。5例因病情不典型而漏诊。1例死于严重的脑外伤。结论 静脉应用普通胰岛素是围手术期糖尿病患者血糖控制的安全有效的方法。

    【关键词】 糖尿病;胰岛素;创伤患者

    Perioperative management in the traumaticpatientswith diabetes mellitus

    WANG Rui-cheng. Department of General Surgery, the Third People’s Hospital of Huaian City,Jiangsu Province Huaian 223001,China

    【Abstract】 Objective To determine the safe method of perioperative glycemic control in the traumaticpatients with diabetes mellitus.Methods 50 cases of diabetic patients underwent various traumatic procedures were retrospectively analyzed.Results The associated diabetes occurred frequently in type 2、elderly patients. 5 cases were missed diagnosis owing to the insidious diabetic courses, and 1 case died of severe. wound of brain.Conclusion Intravenous regular insulin administration during perioperative period is an effective and safe method for management of the diabetic patients. ......