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目的:探讨肝硬化并发肝源性糖尿病患者的临床特点及治疗。方法:对111例的肝硬化并发肝源性糖尿病临床资料进行回顾性分析。结果:肝硬化并发肝源性糖尿病发生率为24.2%,肝源性糖尿病临床表现不典型,空腹血糖大多轻度升高,控制饮食及改善肝功能或胰岛素治疗有效。结论:肝硬化并发肝源性糖尿病发生率较高,临床表现不典型,肝源性糖尿病的治疗需要采取综合措施,积极治疗原发病,及早使用胰岛素。
Objective: To investigate the clinical characteristics and treatment of liver cirrhosis complicated with liver-derived diabetes. Methods: The clinical data of 111 cases of liver cirrhosis complicated with liver-derived diabetes were analyzed retrospectively. Results: The incidence of liver-derived type 2 diabetes mellitus was 24.2%. The clinical manifestations of liver-derived diabetes were not typical. Most of the fasting blood glucose was mildly elevated. It was effective in controlling diet and improving liver function or insulin therapy. Conclusion: The incidence of liver cirrhosis complicated by liver-derived diabetes is high, and the clinical manifestations are not typical. The treatment of liver-derived diabetes requires comprehensive measures to actively treat the primary disease and use insulin as early as possible.