自1984年11月至1987年12月,我科收治经CT扫描确诊的脑梗塞300例,其中糖尿病并发脑梗塞41例,占13.7％,现将其发病机制与临床特点报告如下。研究对象 300例脑梗塞全部为住院治疗病人,其中化验空腹血糖236例,结果:16例有糖尿病史,入院后血糖仍超过正常范围,诊断糖尿病无疑;另外25例无糖尿病史,但入院时空腹血糖升高,经反复化验至病情平稳后,空腹血糖仍超过正常,符合糖尿病之诊断,故糖尿病并发脑梗塞41例。本组不包括入院时血糖升高而病情平稳后又恢复正常的病人。临床资料 From November 1984 to December 1987, our department treated 300 cases of cerebral infarction confirmed by CT scan, of which 41 cases of diabetes complicated by cerebral infarction, accounting for 13.7%, now the pathogenesis and clinical features are reported as follows. All 300 patients with cerebral infarction were hospitalized. Among them, 236 patients had fasting blood glucose test. Results: 16 patients had history of diabetes mellitus. After admission, the blood glucose still exceeded the normal range, no doubt the diagnosis of diabetes mellitus. Another 25 patients had no history of diabetes. However, Blood sugar, after repeated tests until the disease is stable, fasting blood glucose is still higher than normal, in line with the diagnosis of diabetes, so complicated with cerebral infarction in 41 cases of diabetes. This group does not include admission to patients with elevated blood glucose and stable disease returned to normal. clinical information