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KMID : 0371319820240070647
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Journal of the Korean Surgical Society
1982 Volume.24 No. 7 p.647 ~ p.654
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Clinical Analysis of the Diabetes Mellitus in Surgery
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Moon Jae-Hwan
Lee Kuhn-Uk
Kim Jin-Pok
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Abstract
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Clinical analysis was made on 52 diabetes mellitus patients, who were admitted to the department of surgery for operation of other disease during 3 years from 1978 to 1980. The results were as follows 1) The highest incidence of diabetic disease was found in the 6th decade(48.1%). Male to female ratio was 1.3: 1 and male was more prevalent than female in incidence. 2) There was no previous diabetic disease history in 18 patients out of 52 patients (34. 7%). In patients who had disease history, duration of the disease was most common from 2 to 5 years in 14 patients (26. 9%). 3) Overweight was found in 12 patients out of 29 male patients (41. 0%). Then, in the female, overweight was found in 12 patients our; of 14 patients(86%). Overweight was more prevalent in female than male. i) Abnormally Low serum. Na concentration (117 meq/L) was found in the 20 patients who had fasting blood sugar above 250mgm%. And also serum K concentration was in the lower limit of normal range (3. 6 meq/L). On the contrary, there was noticed no abnormality of electrolyte in the 11 patients whose fasting1 blood sugar was below 250 mgm%. 5) The group using NPH insulin postoperatively had more stable mean blood glucose level (187 mgm%) than the other two groups with RI treatment only (229 mgm%) or RI treatment followed by NPH insulin treatment (270 mgm%). 6) There was postoperative complications such as wound infection in 10 patients (19.2%), delayed wound healing in 6 patients (11. 5%), urinary tract infection in 7 patients(13.5%) and sepsis in 2 patients(3.8%). 7) There was noticed increasing rate of postoperative wound infection and sepsis in the 28 patients whose blood glucose level was above 180 mgm%. The infection rate was 32.1% in former group and latter group 10.5%. 8) The overall mortality rate was 5.4% and cause of death were sepsis at all.
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KEYWORD
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