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二、临床表现(诊断与治疗)(一)心血管并发症这是 DM 的主要死亡原因.近年报道 DM 因心血管并发症的病死率越来越高,美国约为70%,日本约为32～44%,中国约为34%(上海)～56%(北京).从普查普治的总结中,认识到早期发现与早期合理治疗病人,是预防DM 心血管并发症的关键.在老年尸检中证实,动脉粥样硬化病变在 DM 组与非 DM 组的对比,前组的发病率高、病变重、发展快、涉及脏器多。有作者报道,将 DM 的血糖经常控制在150mg%以下,(?)并发症明显减少,寿命可类同正常人.将 DM 组与非 DM 组的几项心血管并发症的发生率进行对比,DM 组均显著高于非 DM 组:重症冠心病分别为61%及14%(4.4:1),心肌梗塞分别为36%及10%(3.6:1),重度脑动脉硬化分别为57%及
Second, the clinical manifestations (diagnosis and treatment) (A) cardiovascular complications This is the main cause of death in DM DM reported in recent years due to cardiovascular mortality higher and higher, the United States about 70%, Japan is about 32 ~ 44% in China and ~ 56% in China (Beijing) From the conclusion of General Census, it is recognized that early detection and early rational treatment of patients is the key to prevent cardiovascular complications in DM. Confirmed that atherosclerotic lesions in the DM group and non-DM group comparison, the former group of high incidence, severe disease, the rapid development, involving more organs. Some authors report that the DM blood glucose is often controlled at 150mg% or less, (?) Complications were significantly reduced, life expectancy can be similar to normal people.Compared the incidence of several cardiovascular complications in DM group and non-DM group, DM group were significantly higher than non-DM group: severe coronary heart disease was 61% and 14% (4.4: 1), myocardial infarction were 36% and 10% (3.6: 1), severe cerebral arteriosclerosis were 57%