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胰岛移植治疗胰岛素依赖型糖尿病

Islet Transplantation in the Treatment of insulin Dependent Diabetes Mellitus

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【作者】 傅敏端; 邓水生; 张佩韦; 胡起; 昌玉兰; 汪泱; 邹志森; 王建华; 罗旭敏; 王兰芬; 李梅英; 杜舜颖; 蔡恒; 彭小兰; 刘建英; 饶玉阶;

【Author】 Fu Minduan DengShuisheng Zhang Peiwei Hu ~Qi Chang Yulan Wang Ya~g, Zou Zhisen Wang Jianhu~,.Luo Xumin Wang Lafen Li Meiying Du ShunyingCai Heng Peng Xiaolan Liu Jianying Rao Yujie(Department of Internal~Medicine~ The First Affiliated Hospital, Jiangx! Medical College)

【机构】 江西医学院第一附属医院内科; 江西省医学科研所; 江西医学院第一附属医院内科外科; 江西医学院第一附属医院内科妇产科; 江西医学院第一附属医院内科病理科; 江西医学院第一附属医院内科检验科; 江西医学院第一附属医院内科 进修医师;

【摘要】 14例Ⅰ型糖尿病,病程最短1年,最长11年。胰岛素用量每日22~60单位,其中4例反复发作酮症酸中毒。14例患者均系病情控制后,应用人胎胰岛行大网膜囊腔内移植,并随访6~20个月,发现12例有效,胰岛素每日用量减少30%以上。10例在移植10~14天时,有明显低血糖反应。研究表明,冷冻复苏胰岛细胞和未经冷冻胰岛细胞功能相似,光镜下两者组织细胞均生长良好。

【Abstract】 Islet transplantation was performed in fourteen patients sufferingfrom insulin dependent diabetic mellitus for 1~11 Years. Before tranplantation the patients were treated with insulin 22~60 units/day and ketoacidosis appeared recurrently in 4 cases. Human fetal pancreatic tissue was transplanted in the omental bursa and the patients were followed up for 6~20 months. 12 cases (85.71%) were found effective and the daily dosage of total insulin was decreased by more than 305%. In these patients hyperglycemia was decreased and C-peptide level elevated. Various degree of hypoglycemia appeared in 10cases 10~14 days after transplantation cell with and without and revivification were similarly functional.

  • 【文献出处】 江西医学院学报 ,Acta Academiae Medicinae Jiangxi , 编辑部邮箱 ,1989年03期
  • 【下载频次】14
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