Ouellette S M
Nurse Anesthesia Program, North Carolina Baptist Hospital, Winston-Salem, North Carolina, USA.
AANA J. 1998 Feb;66(1):65-76.
Diabetes mellitus is one of the more common endocrine disorders encountered in the anesthetic management of surgical and obstetrical patients. These patients often have complications associated with the disease process which may increase perioperative morbidity and mortality. Optimal management depends upon an understanding of the disease process as well as special considerations unique to the diabetic. This AANA Journal course reviews the pathophysiology of diabetes and common complications associated with the disease. Perioperative considerations include assessment and metabolic control during the time of surgical stress. In concludes with acute complications and their recognition and management.
糖尿病是外科和产科患者麻醉管理中较为常见的内分泌疾病之一。这些患者常常伴有与疾病进程相关的并发症，这可能会增加围手术期的发病率和死亡率。最佳管理取决于对疾病进程的了解以及糖尿病患者特有的特殊考量因素。本《美国麻醉护士协会杂志》课程回顾了糖尿病的病理生理学以及与该疾病相关的常见并发症。围手术期的考量因素包括手术应激期间的评估和代谢控制。课程最后介绍了急性并发症及其识别和管理。
