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本文收集中南大学湘雅第二医附属医院内分泌科病房收治的603例糖尿病(DM)病人的临床资料,在对其类型及其并发症作临床分析的基础上,并与本科过去报告的有关资料进行分析比较。1对象与方法1.1研究对象所选病例是2001年9月-2003年8月住院的DM病人,共603例(占同期科内住院病人总数的58.2%)。其中男295例,女308例;平均发病年龄48岁(9-81岁)。1.2诊断标准(1)DM诊断参照1999年WHO推荐的诊断与分型标准;1型DM亚型(LADA)的诊断主要参照①发病年龄>20岁;②发病后半年内未发生酮症酸中毒;③发病时体重指数<21;④易发生继发性磺脲类药物失效,需用胰岛素
This article collected from Xiangya Second Affiliated Hospital of Central South University, Department of Endocrinology Ward admitted 603 cases of diabetes mellitus (DM) clinical data, in its type and its complications for clinical analysis based on the past and undergraduate reports relevant information For analysis and comparison. 1 Subjects and Methods 1.1 Subjects Selected cases were DM patients hospitalized from September 2001 to August 2003, a total of 603 cases (accounting for 58.2% of the total number of inpatients in the same period). There were 295 males and 308 females with an average age of 48 years (range, 9-81 years). 1.2 Diagnostic criteria (1) DM diagnosis Refer to the diagnostic and classification criteria recommended by the WHO in 1999; the diagnosis of type 1 DM subtype (LADA) mainly refers to ① age at onset> 20 years; ② ketoacidosis ; ③ when the body mass index <21; ④ susceptible to secondary failure of sulfonylurea, the need for insulin