الفهرس 
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Abstract
In childhood, it is reported that hyperglycemia occurs
in 4.7% of patients with acute illness aging 1 month to 6
years.
Major surgery and urgent or emergent intervention
without time enough for reparation and intraoperative
complications as bleeding considered the main cornerstone
for stress hyperglycemia.
Surgical patients who undergo elective and urgent
surgery may have un-recognized diabetes or develop stress
hyperglycemia that contribute to increased postoperative
complications.
Patients with hospital induced stress hyperglycemia
have a greater risk than those with pre-existing diabetes.
The risk of postoperative infectious complications
increase in stressed group than non-stressed group due to
depressed immune function secondary to inhibition of IL-1
and impaired phagocytosis.
Early intervention for control of hyperglycemia either
by intravenous fluid or insulin therapy decrease the rate of
postoperative complications.