国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2012年
11期
735-737
,共3页
糖尿病%烧伤%血糖%综合疗法
糖尿病%燒傷%血糖%綜閤療法
당뇨병%소상%혈당%종합요법
Diabetes mellitus%Burns%Blood glucose%Combined modality therapy
目的 探讨糖尿病患者烧伤的临床特点和治疗体会,提高糖尿病患者烧伤的治愈率.方法 对甘肃省人民医院烧伤整形科近5年来收治的46例糖尿病烧伤患者的一般资料,以及补液抗休克、控制血糖、手术和对症支持的综合疗法进行回顾性分析.结果 所有患者经3～7d空腹血糖均下降至10 mmol/L以下,28例手术患者空腹血糖下降至8 mmol/L以下；除1例病情较重并发多器官功能障碍综合征死亡外,其余均治愈,治愈率达97.8％；46例中26例出现并发症,发病率为56.5％.结论 糖尿病患者烧伤病情复杂,全身结合局部的综合性治疗是治愈糖尿病烧伤患者的有效方法.
目的 探討糖尿病患者燒傷的臨床特點和治療體會,提高糖尿病患者燒傷的治愈率.方法 對甘肅省人民醫院燒傷整形科近5年來收治的46例糖尿病燒傷患者的一般資料,以及補液抗休剋、控製血糖、手術和對癥支持的綜閤療法進行迴顧性分析.結果 所有患者經3～7d空腹血糖均下降至10 mmol/L以下,28例手術患者空腹血糖下降至8 mmol/L以下；除1例病情較重併髮多器官功能障礙綜閤徵死亡外,其餘均治愈,治愈率達97.8％；46例中26例齣現併髮癥,髮病率為56.5％.結論 糖尿病患者燒傷病情複雜,全身結閤跼部的綜閤性治療是治愈糖尿病燒傷患者的有效方法.
목적 탐토당뇨병환자소상적림상특점화치료체회,제고당뇨병환자소상적치유솔.방법 대감숙성인민의원소상정형과근5년래수치적46례당뇨병소상환자적일반자료,이급보액항휴극、공제혈당、수술화대증지지적종합요법진행회고성분석.결과 소유환자경3～7d공복혈당균하강지10 mmol/L이하,28례수술환자공복혈당하강지8 mmol/L이하；제1례병정교중병발다기관공능장애종합정사망외,기여균치유,치유솔체97.8％；46례중26례출현병발증,발병솔위56.5％.결론 당뇨병환자소상병정복잡,전신결합국부적종합성치료시치유당뇨병소상환자적유효방법.
Objective To explore clinical features and therapeutic experience of burns of diabetes patients,for enhancing the curative rate of this diease.Methods The clinical data including the general condition and antishock,blood glucose controlling,surgery,symptomatic and supportive treatments of burns in 46 diabetes patients were analyzed.Results During three to seven days,the fasting plasma glucose of all patients dropped to below 10 mmol/L,and it dropped to below 8 mmol/L in 28 surgical patients.All patients were cured except one died in a bad way occurring multiple organ dysfunction syndrome,and the curative rate reached to 97.8％.Complications occurred in 26 cases and the incidence was 56.5％.Conclusion The burns in diabetes patients are very complicated.It is being effective to combine systemic with local treatments for the condition.
