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糖尿病对心脏的影响包括在广泛的糖及脂肪等代谢紊乱的基础上所发生的大血管病变,微血管病交以及心脏植物神经病变,故近年来提出了范围更广的新概念——糖尿病性心脏病。本文就24例糖尿病性心脏病住院病人的治疗作一分析与探讨。临床资料一、病例选择临床确诊糖尿病性心脏病的住院病人24例,其中男12例,女12例。年龄41~77岁(平均63.4岁)。24例均为非胰岛素依赖型糖尿病,糖尿病病程1~38年,入院时空腹血糖为89~720mg%,其中12例作口服葡萄糖耐量试验,均为异常,6例入院时伴酮症。
The effects of diabetes on the heart include macrovascular disease, microvascular disease and cardiac autonomic neuropathy occurring on the basis of a wide range of metabolic disorders such as sugar and fat. In recent years, however, a new and broader concept has been proposed for diabetes mellitus disease. In this paper, 24 cases of diabetic patients with heart disease in the treatment for an analysis and discussion. Clinical data A case selection Clinical diagnosis of diabetic heart disease in 24 patients, including 12 males and 12 females. Age 41 to 77 years (average 63.4 years old). 24 cases were non-insulin-dependent diabetes mellitus, duration of diabetes ranged from 1 to 38 years. Fasting plasma glucose was 89 ~ 720mg% on admission, of which 12 were oral glucose tolerance test and all were abnormal. Six patients had ketosis on admission.