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[糖尿病食管癌患者的护理——术前管理与治疗]

[Care of esophageal cancer patients with diabetes mellitus--preoperative management and treatment].

作者信息

Shimada Y, Imamura M

机构信息

First Department of Surgery, Kyoto University, Japan.

出版信息

Nihon Geka Gakkai Zasshi. 1996 Jun;97(6):404-8.

PMID:8774807
Abstract

The care of esophageal cancer patients with diabetes mellitus is described. The main points are as follows. 1. Prevention and control of infection. 2. Sufficient nutritional support (2000 Kcal/day) and hydration. 3. Control of plasma glucose level (150 mg/dl-250 mg/dl) by means of insulin. 4. An absence of ketone bodies and minimum glucose level (< 10 g/day) in the urine. 5. Prevention and control of hypoglycemia. Good control of diabetes mellitus in esophageal cancer patients may contribute to reduced surgical rislcs.

摘要

本文描述了糖尿病食管癌患者的护理。要点如下:1. 预防和控制感染。2. 充足的营养支持(2000千卡/天)和补液。3. 通过胰岛素控制血糖水平(150毫克/分升 - 250毫克/分升)。4. 尿中无酮体且血糖水平最低(<10克/天)。5. 预防和控制低血糖。食管癌患者糖尿病的良好控制可能有助于降低手术风险。

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