成人糖尿病患者的围手术期管理。糖尿病专家的作用。

Perioperative management of adult diabetic patients. The role of the diabetologist.

机构信息

Anaesthesia and intensive care department, hôpitaux universitaires Paris-Sud, AP-HP, hôpital de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.

Heart metabolism and nutrition institute, AP-HP, hôpital de la Pitié-Salpêtrière, 75013 Paris, France; Department of diabetes and metabolic diseases, hôpital de la Pitié-Salpêtrière, 75013 Paris, France.

出版信息

Anaesth Crit Care Pain Med. 2018 Jun;37 Suppl 1:S37-S38. doi: 10.1016/j.accpm.2017.10.009. Epub 2018 Jan 6.

DOI:10.1016/j.accpm.2017.10.009

PMID:29317312

Abstract

A patient should be referred to a diabetologist perioperatively in several circumstances: preoperative recognition of a previously unknown diabetes or detection of glycaemic imbalance (HbA1c <5% or >8%); during hospitalisation, recognition of a previously unknown diabetes, persisting glycaemic imbalance despite treatment or difficulty resuming previously used chronic treatment; postoperatively and after discharge from hospital, for all diabetic patients in whom HbA1c is >8%.

摘要

在以下几种情况下，患者应在围手术期转介给糖尿病专家：术前发现以前未知的糖尿病或发现血糖失衡（HbA1c<5%或>8%）；住院期间，发现以前未知的糖尿病，尽管治疗但血糖仍失衡，或难以恢复以前使用的慢性治疗；术后和出院后，所有 HbA1c>8%的糖尿病患者。