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目的 提高对慢性乙型肝炎合并糖尿病临床特征、诊断及处理的认识 .方法 分析了 30例慢性乙型肝炎并糖尿病患者的临床资料 .结果 以糖尿病首发者 4例 ,以乙型病毒性肝炎首发者 2 4例 ,二者同时发现者 2例 .结论 慢性乙型肝炎合并糖尿病多属于肝原性糖尿病 .临床表现类似于 2型糖尿病 .典型的多尿、多饮、多食症状因受肝病影响多不存在 ,而酮症酸中毒、微血管病变等并发症少见 .治疗上应积极治疗慢性肝炎 ,改善肝功能 ,尽早控制糖尿病
Objective To improve the clinical features, diagnosis and treatment of chronic hepatitis B. Methods The clinical data of 30 patients with chronic hepatitis B and diabetes mellitus were analyzed.Results Four patients with diabetes mellitus and one with hepatitis B 24 cases, both found at the same time in 2 cases.Conclusion Chronic hepatitis B with diabetes mostly belong to hepatic diabetes, the clinical manifestations are similar to type 2 diabetes.Modern polyuria, polydipsia, polycystic symptoms due to liver disease and more Does not exist, and ketoacidosis, microvascular complications such as rare. Treatment should actively treat chronic hepatitis, improve liver function, early control of diabetes