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目的 探讨脑肿瘤合并糖尿病患者的围手术期处理有关问题。方法 对３１ 例合并糖尿病的脑肿瘤患者进行严密的血糖和尿糖监测，在饮食疗法的基础上采用口服降糖药和胰岛素控制血糖，用足量有效的抗生素预防感染，并加强营养支持。结果 ２２ 例术前、术中和术后血糖控制满意，未出现任何并发症；３ 例切口感染，２ 例并发肺内感染，３ 例颅内感染，出现酮症酸中毒１ 例，均经及时处理好转，无１ 例死亡。结论 围手术期将血糖控制在安全水平（６２ ～１１ ．２ ｍ ｍｏｌ／ Ｌ） 是治疗成功的关键。
Objective To investigate the perioperative management of brain tumor patients with diabetes. Methods Thirty-one brain tumor patients with diabetes mellitus were monitored with strict blood glucose and urine glucose. On the basis of diet therapy, oral hypoglycemic agents and insulin were used to control blood glucose, and effective antibiotics were used to prevent infection and strengthen nutritional support. Results The preoperative, intraoperative and postoperative blood glucose control was satisfactory in 22 patients. No complications occurred; 3 cases of incision infection, 2 cases of pulmonary infection, 3 cases of intracranial infection, and 1 case of ketoacidosis. The treatment was improved and there was no death. Conclusions Control of blood glucose to a safe level during the perioperative period (6 2 ～ 1 1.2 m mol/L) is the key to successful treatment.