Journal of VolgSMU
Quarterly scientific-practical journal

UDK: 616.94:616.379-008.64-089

SPECIFIC CHARACTERISTICS OF POSTOPERATIVE ABDOMINAL SEPTIC COMPLICATIONS IN PATIENTS WITH DIABETES MELLITUS TYPE 2

M. A. Drobkov, N. V. Rogova, A. N. Akinchits, O. I. Butranova

Волгоградский государственный медицинский университет, кафедра клинической фармакологии и интенсивной терапии с курсами клинической фармакологии ФУВ, клинической аллергологии ФУВ, Клиника № 1 Волгоградского государственного медицинского университета, Волг

Abstract

The analysis of postoperative abdominal septic complications in patients with diabetes mellitus type 2 revealed that diabetes complications are associated with microvascular and macrovascular damage. Damage to the small and large blood vessels makes the infection more severe, causes various complications, makes hospital stay longer, all of which can lead to higher mortality rates. Infection markers remain high and progressively increase up to the twenty-first day of stay in the ICU in patients with concomitant endocrine disorders. Positive dynamics of glycemia among non-diabetic individuals can be observed on the fourteenth day of treatment. A significant reduction in mortality rate (4,6—8 %) was confirmed in patients with continuous monitoring and correction of blood glucose levels.

Keywords

abdominal sepsis, septic complications, specific characteristics of surgical site infection, diabetes mellitus type 2.

Contacts

Дробков Михаил Александрович — врач ане- стезиолог-реаниматолог отделения анестезиологии- реаниматологии с палатами реанимации и интенсив- ной терапии для взрослого населения, Клиника № 1, Волгоградский государственный медицинский универ- ситет, e-mail: d