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目的 :探讨老年Ⅱ型糖尿病兼症的临床表现及发病机制。方法 :对我院 1996 8～ 2 0 0 2 5收治的老年Ⅱ型糖尿病 12 9例其中有并发症的 10 6例进行总结分析。结果 :并发症为首发表现者首诊时仅 5例明确诊断 ,漏诊率高达89 13 %。 10 6例中 1种并发症 3 6例 ( 3 3 96% ) ,2种并发症 2 9例 ( 2 7 3 6% ) ,3种以上 41例 ( 3 8 68% )。其中慢性并发症 15 9例次 ,急性并发症 87例次。结论 :随着治疗水平的提高和患者寿命的延长 ,并发症问题越来越突出 ,且部分老年糖尿病常以其并发症为初发 ,漏诊率高。目前大血管、微血管、神经等慢性并发症发生率和致死率大大增加 ,但如能及时发现 ,正确治疗慢性并发症早期一般有一定的可逆性
Objective: To investigate the clinical manifestations and pathogenesis of senile type Ⅱ diabetes mellitus. Methods: A total of 12 9 elderly patients with type 2 diabetes admitted to our hospital from 1996 to 2000 were included in this study. Results: Complication was the first diagnosis of only 5 cases of first diagnosed diagnosis, diagnosis rate as high as 89 13%. There were 36 cases (366%) of the 10 complications, 29 cases (276%) of the 2 complications and 41 cases (388%) of the 3 kinds of complications. Among them, 15 9 cases were chronic complications and 87 cases were acute complications. CONCLUSIONS: With the improvement of treatment level and prolongation of patients’ life span, the complication problems become more and more prominent. Some elderly diabetic patients often start with their complications and have a high rate of missed diagnosis. At present, the incidence of major complications such as macrovascular, microvascular and nerve diseases and the fatality rate are greatly increased. However, if it can be found in time, proper treatment of chronic complications generally has certain reversibility