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作者给30例糖尿病患者作了逆行胰胆管造影,所有病例在自觉症状、体检和淀粉酶等血尿检验方面均无胰腺炎或胰腺癌的可疑表现。结果发现:43.3%合并慢性胰腺炎(轻症20%、中度13.3%、重症10%),6.7%合并胰腺癌。胰腺炎的合并率及严重程度与年龄、饮酒史,糖尿病的严重程度及治疗方法有关:<40岁组为20%,40~60岁组为37.5%,>60岁组为66.7%,饮酒史阳性组为57.1%,阴性组为39.1%:饮食疗法组为16.7%,口服降糖药组为45.5%,胰岛素治疗组为53.8%;此外,糖
The authors made retrograde cholangiopancreatography in 30 patients with diabetes, and all cases showed no suspicion of pancreatitis or pancreatic cancer in subjective symptoms, physical examination, and amylase tests. The results showed that: 43.3% with chronic pancreatitis (mild 20%, moderate 13.3%, severe 10%), 6.7% with pancreatic cancer. The incidence and severity of pancreatitis were related to age, history of alcohol consumption, severity of diabetes, and treatment: 20% in patients 40 years of age, 37.5% in patients 40-60 years of age, and 66.7% in patients 60 years of age. 57.1% in the positive group and 39.1% in the negative group: 16.7% in the diet group, 45.5% in the oral hypoglycemic group and 53.8% in the insulin-treated group. In addition,