[Characteristics of the postoperative period in diabetes mellitus type 1 in patients with distal splenorenal anastomosis].
Eight patients with type I diabetes mellitus have been operated on to form a distal splenorenal anastomosis (DSRA). A critical period (the 6th and the 7th days) postoperation has been observed when severe metabolic acidosis develops; to prevent its development, transfusions of 4% sodium bicarbonate solution (1.5-2.01) have been administered before the critical period for 24 hrs, with the metabolic condition monitored by biochemical analyses. Studies of metabolism in these patients after surgery have revealed a complete normalization of the acid-base balance and of potassium level, as well as a reduction of the blood glucose concentration. The doses of exogenic insulin have been reduced by 30%, this being associated with a tendency to an increase of the levels of endogenic insulin, C-peptide and glucagon of the blood. This helps a better stabilization of the diabetic process after the formation of a DSRA.
Ivanov
P A
PA
Golikov
P P
PP
Shcherbiuk
A N
AN
Gvakhariia
G N
GN
Syromiatnikova
E D
ED
Guliaev
V A
VA
Nikolaeva
N Iu
NIu
D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000601:surgery*; D005260:Female; D005934:Glucagon / Q000097:blood*; D006801:Humans; D007328:Insulin / Q000097:blood*; D008297:Male; D011184:Postoperative Period; D013164:Splenorenal Shunt, Surgical
D001786:Blood Glucose; D007328:Insulin; D005934:Glucagon
Osobennosti posleoperatsionnogo perioda pri sakharnom diabete I tipa s distal'nym selezenochno-pochechnym anastomozom.