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报告人:加拿大Monitoba大学医学生理系主任,NS Dhalla教授。 众所周知,糖尿病(DM)系一复杂的临床综合征群。过去认为它系人类三大致死性疾病之一。DM主要由内源性胰岛素绝对或相对缺乏所致,机体不能维持血糖正常和代谢平衡,自胰岛素发现以来,DM已成为一可治之症。糖尿病患者死亡原因与过去相比已有明显不同。未用胰岛素治疗年代,导致糖尿病患者死亡的并发症以糖尿病昏迷、肾脏病变、神经病变、血管病变等占主要地位。胰岛素问世以来,DM患者因糖尿病昏迷而死亡的情况已不多见,仅1%左右。相反,DM患者并发心功能不全者较为多见,并发心力象竭而致死者占51%,
Speaker: Director, Department of Medical Physiology, Monitoba University, Canada, Professor NS Dhalla. It is well-known that diabetes mellitus (DM) is a complex group of clinical syndromes. In the past it was one of the three most lethal human diseases. DM is mainly due to the absolute or relative lack of endogenous insulin, the body can not maintain normal blood glucose and metabolic balance, since the discovery of insulin, DM has become a treatable disease. The causes of death in diabetic patients have been significantly different from the past. The unused insulin treatment of the age, leading to complications of diabetic death in diabetic coma, kidney disease, neuropathy, vascular disease and other dominant position. Since the advent of insulin, diabetic patients have died of diabetic coma has been rare, only about 1%. On the contrary, patients with DM complicated by cardiac insufficiency are more common, with heart-like exhaust and death caused by 51%