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60例60岁以上老年糖尿病临床分析

CLINICAL ANALYSIS OF 60 ELDERLY CASES WITH DIABETES MELLITUS

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【作者】 闻红宋光华

【Author】 Wen Hong & Song Guanghua Department of Internal Medicine, Second Affiliated Hospital, Dalian Medical College

【机构】 大连医学院附属二院内科大连医学院附属二院内科

【摘要】 本组老年糖尿病占同期住院糖尿病人的26%,其中59例在40岁以后发病。老年糖尿病病人的临床表现特点是:①症状不典型,易于漏诊、误诊。本组有18例无糖尿病症状而以其他疾病收住院。②并发症较多且严重,本组31.6%合并心血管病,16.7%合并脑血管病;糖尿病肾病、眼病、神经病变者分别达30%、40%与42.3%。③高渗性昏迷的死亡率高。

【Abstract】 There were 59 in 60 cases of our reported elderly patients with diabetes mellitus (DM) in which the disease occured in age older than 40 years old. The incidence of those elderly patients was 26% of the total hospi talized patients with DM at the same time. The characterized clincical manifastations of elderly patients with DM observed in our group may be summarized as follows: (1)The diagnosis of DM is likely to be missed because of their atypical manifestations. (2) Those patients are susceptible to occur complications and be presented in more severity. The complicated cardiac vascular diseases occured in 31.6%, cerebral vascular diseases 16.7%, renal diseases 30%, ocular diseases 40%, and neuropathies 42.3%. (3) The mortality of hyperosmolar coma is very high in the elderly patients with DM.

【关键词】 糖尿病老年
【Key words】 diabetes mellitussenile
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