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近年来,我们收治14例肝硬化并发糖尿病患者,现分析如下。 临床资料:本组肝硬化均系肝炎病变后病人,均经病史、体征、肝功及B超确诊;空腹血糖≥7.2mmol/L,餐后2小时血糖≥11.1mmol/L;除外原发性及各种继发性糖尿病。患者年龄32～65岁;肝硬化病史2～14年;从发病到出现糖尿病症状时间2～10年。病人除有不同程度的肝功能减退及门脉高压表现外,伴口渴4例,饥饿感3例,多尿4例,明显消瘦2例。实验室检查白蛋白<30g/L6例,GPT升高4例,血清HBsAg
In recent years, we treated 14 patients with cirrhosis and diabetes, are analyzed as follows. Clinical data: This group of patients with liver cirrhosis are lesions, were history, signs, liver function and B-diagnosed; fasting blood glucose ≥ 7.2mmol / L, 2 hours postprandial blood glucose ≥ 11.1mmol / L; except primary And various secondary diabetes. Patients aged 32 to 65 years; history of cirrhosis 2 to 14 years; from onset to the onset of symptoms of diabetes 2 to 10 years. In addition to patients with varying degrees of liver dysfunction and portal hypertension, with thirst in 4 cases, 3 cases of hunger, polyuria in 4 cases, 2 cases of significant weight loss. Laboratory examination of albumin <30g / L6 cases, GPT increased in 4 cases, serum HBsAg