关于接受手术的重症患者高血糖的管理
On the management of hyperglycaemia in critically ill patients undergoing surgery.
作者信息
Nomikos Iakovos, Kyriazi Maria, Vamvakopoulou Dimitra, Sidiropoulos Andreas, Apostolou Athanasios, Kyritsaka Aspasia, Athanassiou Evangelos, Vamvakopoulos Nikolaos C
机构信息
Departments of Surgery (B' Unit), "METAXA" Cancer Memorial Hospital, Piraeus, Greece.
出版信息
J Clin Med Res. 2012 Aug;4(4):237-41. doi: 10.4021/jocmr604w. Epub 2012 Jul 20.
Abstract
Hyperglycaemia is a major health risk and a negative determinant of surgical outcome. Despite its increasing prevalence, the limited treatments for restoration of normoglycaemia make its effective management a highly complex individualized clinical art. In this context, we review the mechanisms leading to hyperglycaemic damage as the basis for effective management of surgical complications of diabetic and non diabetic critically ill patients.
摘要
高血糖是一项重大健康风险，也是手术结果的负面决定因素。尽管其患病率不断上升，但恢复正常血糖水平的治疗方法有限，这使得对其进行有效管理成为一门高度复杂的个体化临床技艺。在此背景下，我们回顾了导致高血糖损伤的机制，以此作为有效管理糖尿病和非糖尿病重症患者手术并发症的基础。
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