CAJ | 학술논문

目的：探讨糖尿病合并急性坏死性鼻窦炎的处理方法。方法回顾性分析2例糖尿病合并急性坏死性鼻窦炎患者的临床处理。结果2例患者经围术期积极控制血糖、抗感染，急诊手术开放鼻窦并清除鼻腔鼻窦坏死组织，其中1例术后第8天出院，随访至今4年余，症状无复发，现仍随访中；另1例患者因并发肾衰竭、腹水，家属于术后第3天放弃治疗，出院当日死亡。结论尽早进行围术期血糖控制、内环境稳定、手术清除坏死灶及抗感染治疗是糖尿病合并急性坏死性鼻窦炎治疗成功的关键。
목적：탐토당뇨병합병급성배사성비두염적처리방법。방법회고성분석2례당뇨병합병급성배사성비두염환자적림상처리。결과2례환자경위술기적겁공제혈당、항감염，급진수술개방비두병청제비강비두배사조직，기중1례술후제8천출원，수방지금4년여，증상무복발，현잉수방중；령1례환자인병발신쇠갈、복수，가속우술후제3천방기치료，출원당일사망。결론진조진행위술기혈당공제、내배경은정、수술청제배사조급항감염치료시당뇨병합병급성배사성비두염치료성공적관건。
Objective To investigate the treatment of diabetes mellitus complicated acute necrotizing sinusitis .Methods By way of reviewing the clinical procedures of 2 patients with diabetes mellitus complicated acute necrotizing sinusitis .Results In perioper-ative period ,by means of glycemic control ,anti-infection ,and emergency surgery to remove the necrotic tissue in nasal sinuses and open the sinuses ,one of the patients discharged from hospital after 8 days .He has been followed up for more than 4 years without recurrence ,and is still in follow-up .Due to complicating renal failure and ascites ,the another patient gave up treatment and dis-charged on the third postoperative day ,and died on the same day .Conclusion Glycemic control ,homeostasis ,surgical removal of necrotic tissue and anti-infection treatment in perioperative period as soon as possible ,is the key to a successful treatment .