FEEDBACK-CONTROLLED DEXTROSE INFUSION DURING SURGICAL MANAGEMENT OF INSULINOMAS

被引:20
作者
KARAM, JH
LORENZI, M
YOUNG, CW
BURNS, AD
PROSSER, PR
GRODSKY, GM
GALANTE, M
FORSHAM, PH
机构
[1] UNIV CALIF SAN FRANCISCO,DEPT MED,SAN FRANCISCO,CA 94143
[2] UNIV CALIF SAN FRANCISCO,DEPT SURG,SAN FRANCISCO,CA 94143
[3] UNIV CALIF SAN FRANCISCO,DEPT BIOCHEM,SAN FRANCISCO,CA 94143
[4] UNIV CALIF SAN FRANCISCO,DEPT BIOPHYS,SAN FRANCISCO,CA 94143
基金
美国国家卫生研究院;
关键词
D O I
10.1016/0002-9343(79)91183-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Through the use of a feedback-controlled dextrose infusion system, we obtained continuous monitoring of the blood glucose level in a patient undergoing surgery for multiple pancreatic beta-cell tumors. In addition, this device infused dextrose at variable rates to maintain a predetermined euglycemic level of 90 mg/dl. Before locating the source of excessive insulin production, the maximum dextrose infusion rate of 400 mg/min was required; but after extirpation of multiple insulinomas, the dextrose-infusion rate declined whereas the blood glucose level rose above the preselected level These results emphasize the usefulness of a monitoring and infusion system not only in protecting the patient from the hazard of hypoglycemia under anesthesia but also as an aid in determining whether all insulin-secreting tumors have been removed. © 1979.
引用
收藏
页码:675 / 680
页数:6
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