Saturday, January 12, 2008
Diabetic patients need emergency surgery how do?
Diabetic patients who need emergency surgery for patients who need the 5% -10% of which 80% patients with severe infection easily and ketoacidosis. Best first active treatment ketoacidosis, correct water loss, electrolyte imbalance, strive for glycemic control in 11.1 mmol / L and then surgery. If conditions require immediate surgery, such as : stop bleeding, intestinal obstruction, such as the operation should be actively treated diabetes, Ketoacidosis correct, the best choice of anesthesia or local anesthesia epidural anesthesia. Avoid hypoglycemia, hypoglycemia awareness for the cover is dangerous. Ketoacidosis can occur abdominal pain, easily confused with the acute abdomen, but the former disappeared with ketoacidosis pick.
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