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目前已知,自限性水肿是糖尿病患者应用胰岛素治疗时引起的并发症之一。然而它进一步发展到心力衰竭的病例,目前尚无报道。曾有文献报告糖尿病合并先天性心脏病的患者,因使用胰岛素而诱发了心力衰竭。本文作者报道1例老年糖尿病患者,糖尿病长期得不到控制,但原来并无明显的心脏病变。经使用大剂量胰岛素后诱发水肿,最后出现肺水肿及双侧胸腔积液。
It is now known that self-limiting edema is one of the complications caused by insulin therapy in diabetic patients. However, it has further developed to the case of heart failure, there is no report yet. There have been reports of diabetes in patients with congenital heart disease, due to the use of insulin induced heart failure. The authors report that 1 case of elderly patients with diabetes, diabetes, long-term uncontrolled, but the original no obvious heart disease. After using large doses of insulin induced edema, and finally pulmonary edema and bilateral pleural effusion.