Ivashchenko V V, Kolkin Ia g, Koval'chuk V S, Ivashchenko A V
Klin Khir. 2005 Aug(8):51-4.
Basing on the analysis of surgical treatment experience of 685 elderly and senile patients with diabetes mellitus, suffering purulent-necrotic affection of foot, the authors admit possibility of the insulinotherapy abolition before the operation in patients with for the first time diagnosed diabetes type II or in those, who before hospitalization received preparations in tablets, while the signs of intoxication are absent (extended purulent process, humid gangrene) and initial level of glycemia no more than 10 mmol/l.
基于对685例患有足部化脓性坏死病变的老年和高龄糖尿病患者手术治疗经验的分析,作者承认,对于首次诊断为II型糖尿病的患者或住院前接受片剂制剂治疗且无中毒迹象(广泛化脓性病变、湿性坏疽)且血糖初始水平不超过10 mmol/L的患者,术前有可能停用胰岛素治疗。