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糖尿病患者的手术感染并发症

Surgical septic complications in diabetic patients.

作者信息

Di Palo S, Ferrari G, Castoldi R, Fiacco E, Cristallo M, Staudacher C, Chiesa R, Di Carlo V

机构信息

Cattedra di Patologia Chirurgica dell'Università degli Studi di Milano, Italy.

出版信息

Acta Diabetol Lat. 1988 Jan-Mar;25(1):49-54. doi: 10.1007/BF02581245.

DOI:10.1007/BF02581245
PMID:3407377
Abstract

In a retrospective study postoperative septic complications were evaluated in 140 insulin-dependent diabetic patients who underwent surgery. The data collected were matched with those of a group of non-diabetic patients, homogeneous for sex, age, and type of surgical procedure. Patients of each group were further divided into 3 subgroups according to the risk of intraoperative contamination (clean-, clean-contaminated, and contaminated procedures). Diabetic patients had a significantly (p less than 0.01) higher rate of septic complications in clean- and clean-contaminated procedures particularly of wound infections. Our experience suggests that diabetes represents an important risk factor.

摘要

在一项回顾性研究中,对140例接受手术的胰岛素依赖型糖尿病患者的术后感染性并发症进行了评估。收集的数据与一组在性别、年龄和手术类型方面均一的非糖尿病患者的数据进行了匹配。根据术中污染风险(清洁手术、清洁-污染手术和污染手术),将每组患者进一步分为3个亚组。在清洁手术和清洁-污染手术中,糖尿病患者的感染性并发症发生率显著更高(p<0.01),尤其是伤口感染。我们的经验表明,糖尿病是一个重要的危险因素。

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本文引用的文献

1
The effect of antisera to insulin, 2-deoxyglucose-induced hyperglycemia, and starvation on wound healing in normal mice.抗胰岛素血清、2-脱氧葡萄糖诱导的高血糖症和饥饿对正常小鼠伤口愈合的影响。
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Risk associated with diabetes mellitus in patients undergoing gallbladder surgery.胆囊手术患者中与糖尿病相关的风险。
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Healing of incisional wounds in stomach and duodenum: the influence of experimental diabetes.
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Management of diabetes in the surgical patient.外科患者糖尿病的管理
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Surgical wound infections. A 5-year prospective study of 20,193 wounds at the Minneapolis VA Medical Center.手术伤口感染。对明尼阿波利斯退伍军人事务医疗中心的20193处伤口进行的为期5年的前瞻性研究。
Ann Surg. 1984 Mar;199(3):253-9. doi: 10.1097/00000658-198403000-00001.
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Guidelines for prevention of surgical wound infection.手术伤口感染预防指南。
Arch Surg. 1983 Oct;118(10):1213-7. doi: 10.1001/archsurg.1983.01390100075019.
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Wound healing with diabetes mellitus. Better glucose control for better wound healing in diabetes.糖尿病患者的伤口愈合。更好地控制血糖以促进糖尿病患者伤口更好地愈合。
Surg Clin North Am. 1984 Aug;64(4):769-78. doi: 10.1016/s0039-6109(16)43393-1.
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Diabetes mellitus, anesthesia, and surgery.糖尿病、麻醉与手术。
Int Anesthesiol Clin. 1968 Spring;6(1):189-209. doi: 10.1097/00004311-196806010-00018.
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Effect of hyperglycemia on survival of bacteria.高血糖对细菌存活的影响。
Surg Forum. 1969;20:56-7.
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Acta Chir Scand. 1985;151(5):445-7.