Gill G V, Sherif I H, Alberti K G
Br J Surg. 1981 Mar;68(3):171-2. doi: 10.1002/bjs.1800680309.
The management of 5 insulin-dependent diabetics following open heart surgery was studied and compared with a group of 5 similar diabetics who had undergone urological or orthopaedic operations. The patients were all treated with a glucose/insulin/potassium infusions regimen, but the cardiac group needed much greater amounts of insulin (1.0 unit/g of glucose) than the non-cardiac group (0.3 units/g) to achieve a similar level of control. The high requirements of the cardiac patients are probably related to trauma, hypothermia and glucose loading when cardiopulmonary bypass begins. Diabetics undergoing such surgery need suitably modified insulin regimens from the outset.
对5例接受心脏直视手术的胰岛素依赖型糖尿病患者的治疗进行了研究，并与5例接受泌尿外科或骨科手术的类似糖尿病患者进行了比较。所有患者均采用葡萄糖/胰岛素/钾输注方案治疗，但心脏手术组为达到相似的控制水平所需的胰岛素量（每克葡萄糖1.0单位）比非心脏手术组（每克葡萄糖0.3单位）多得多。心脏手术患者的高需求可能与体外循环开始时的创伤、体温过低和葡萄糖负荷有关。接受此类手术的糖尿病患者从一开始就需要适当调整胰岛素治疗方案。
