Yasuura K, Matsuura A, Sawazaki M, Maseki T, Okamoto H, Ogawa Y, Seki A, Hoshino M, Asakura T, Abe T
Department of Thoracic Surgery, Nagoya University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Mar;41(3):363-6.
Diabetes mellitus is a well-known risk factor in the patients undergoing coronary artery bypass grafting (CABG) and with increasing frequency diabetic patients are referred for CABG. From the fact that the arteriosclerosis is more diffuse and advanced in patients with diabetes, the presence of the diabetic state might be expected to be at risk for CABG. We retrospectively evaluated the surgical results in 91 patients with diabetes mellitus operated on from January, 1985, to June, 1991, compared with a control group of 339 patients during the same period. Compared with nondiabetic patients, diabetic patients had more extensive coronary artery disease and, therefore, received the more number of grafts per patient. However, no difference was noted in the incidence of operative mortality, morbidity and postoperative complication. The incidence of postoperative sternotomy infection was slightly higher, if not statistically significant, in the diabetic patients. Our study demonstrates that patients with diabetes mellitus can be operated on relatively safely.
糖尿病是接受冠状动脉旁路移植术（CABG）患者中众所周知的危险因素，并且越来越多的糖尿病患者被转诊接受CABG。鉴于糖尿病患者的动脉硬化更弥漫且更严重，糖尿病状态可能会使患者面临CABG风险。我们回顾性评估了1985年1月至1991年6月期间接受手术的91例糖尿病患者的手术结果，并与同期339例患者的对照组进行了比较。与非糖尿病患者相比，糖尿病患者的冠状动脉疾病更广泛，因此每位患者接受的移植血管数量更多。然而，手术死亡率、发病率和术后并发症的发生率没有差异。糖尿病患者术后胸骨切开感染的发生率略高，虽无统计学意义。我们的研究表明，糖尿病患者可以相对安全地进行手术。
