通过多次应用局部50%葡萄糖有效解决术后口腔胀:一个案例报告
Satoshi Ueno1,2, Tsuyoshi Suzuki1, Mitsuko Suzuki1
1Department of Emergency and Critical Care Medicine, Fukushima Medical University, Fukushima, JPN.
Cureus
|September 24, 2025
概括
局部葡萄糖溶液有效地减少了2型糖尿病患者的口腔水. 这种微创手术方法对血糖控制没有任何不良影响,为静脉口腔复杂症提供了潜在的治疗方法.
科学领域:
- 医学案例研究 医学案例研究
- 手术并发症 手术并发症
- 伤口管理 伤口管理
背景情况:
- 葡萄糖诱导的透梯度用于肠,但缺乏标准化和记录的重复使用.
- 人们对葡萄糖在血糖控制上的影响存在担忧.
- 口腔胀是瘤手术后的潜在并发症.
研究的目的:
- 用局部葡萄糖溶液来管理持久的口腔水腫的案例.
- 评估该方法在血糖控制方面的有效性和安全性.
主要方法:
- 一名患有脊柱裂变和2型糖尿病病史的患者在关节脱节手术后出现了口腔水.
- 局部应用20毫升的50%葡萄糖溶液到肠道粘膜八次超过五天.
- 监测口腔水和外科手术期间的血糖控制.
主要成果:
- 在局部应用葡萄糖后,观察到口腔水明显减少.
- 治疗没有对外科手术前血糖控制产生不利影响.
- 在没有显著并发症的情况下成功管理口腔水.
结论:
- 局部葡萄糖溶液是一种可行的和最少的侵入性方法来管理急性阶段的口腔胀.
- 这种方法在糖尿病患者的血糖控制方面似乎是安全的.
- 需要进一步研究以建立标准化技术并评估长期结果.
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