Acute cholecystitis in the diabetic. A case-control study of outcome.
Acute cholecystitis in the diabetic. A case-control study of outcome.
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糖尿病患者发生急性胆囊炎。
DOI：
10.1001/archsurg.1988.01400280015001
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发表时间：
1988
影响因子：
--
通讯作者：
C. P. Page
中科院分区：
文献类型：
--
作者：
M. Hickman;W. Schwesinger;C. P. Page
糖尿病对急性胆囊炎手术治疗相关风险的影响尚未明确。因此，我们对72名因急性胆囊炎而需要紧急手术的糖尿病患者进行了病例对照研究。将患者的年龄、性别和手术日期与非糖尿病对照进行匹配。对患者记录的审查显示，住院时间或手术和病理结果的严重程度没有显着差异。然而，糖尿病患者的发病率（38.9%）明显高于非糖尿病患者（20.8%）。此外，糖尿病感染相关并发症的发生率几乎是对照组的三倍（19.4% vs 6.9%）。唯一的死亡是糖尿病患者（4.2%），并且是脓毒症影响的直接结果。这些研究结果表明，糖尿病患者的急性胆囊炎与感染相关并发症的发生率较高有关，并支持对有症状的患者进行迅速手术治疗的需要。
The influence of diabetes on the risks associated with the operative treatment of acute cholecystitis has not been clearly defined. Therefore, a case-control study of 72 diabetics requiring urgent operation for acute cholecystitis was undertaken. Patients were matched for age, gender, and date of surgery with nondiabetic controls. Review of patient records revealed no significant difference in hospital stay or severity of operative and pathologic findings. However, diabetics suffered significantly more morbidity (38.9%) than nondiabetics (20.8%). Moreover, diabetic infection-related complications occurred at a rate nearly three times that of controls (19.4% vs 6.9%). The only mortalities were experienced by diabetics (4.2%) and were the direct result of the effects of sepsis. These findings suggest that acute cholecystitis in diabetics is associated with a higher incidence of infection-related complications and supports the need for expeditious operative therapy in symptomatic patients.
影响因子：
5.1
作者：
R. Mazze;R. Mazze;P. Sinnock;P. Sinnock;L. Deeb;L. Deeb;Jerry L. Brimberry;Jerry L. Brimberry
通讯作者：
R. Mazze;R. Mazze;P. Sinnock;P. Sinnock;L. Deeb;L. Deeb;Jerry L. Brimberry;Jerry L. Brimberry