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为提高对职业性三氯乙烯药疹样皮炎并发糖尿病的认识,收集广东省职业病防治院收治的4例该病患者的病例资料,并对其临床表现及治疗原则进行分析和探讨。本组患者均有误诊史,早期临床表现并不典型,停用激素后血糖升高情况不能恢复者,往往提示病情不可逆,需长期进行胰岛素治疗。提示,糖尿病可能是职业性三氯乙烯药疹样皮炎的严重并发症,建议重视在激素治疗早期的空腹血糖和口服葡萄糖耐量试验检测,及早筛查出糖尿病前期患者,并尽量缩短激素的疗程。
In order to raise awareness of occupational trichlorethylene-like dermatitis complicated with diabetes mellitus, 4 cases of this disease collected from Guangdong Occupational Disease Prevention and Treatment Hospital were collected, and their clinical manifestations and treatment principles were analyzed and discussed. Patients in this group have misdiagnosis, early clinical manifestations are not typical, stop using hormones after the rise of blood sugar can not be recovered, often suggesting that the condition is irreversible, requiring long-term insulin treatment. It is suggested that diabetes mellitus may be a serious complication of occupational trichlorethylene edematous dermatitis. It is suggested that fasting blood glucose and oral glucose tolerance test should be taken early in hormone therapy, early detection of patients with pre-diabetes, and try to shorten the hormone treatment.