Shimada Y, Imamura M
First Department of Surgery, Kyoto University, Japan.
Nihon Geka Gakkai Zasshi. 1996 Jun;97(6):404-8.
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.
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。
