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已经证实血吸虫病肝纤维化特别是晚期有腹水患者对葡萄糖不耐性。葡萄糖利用减低的正确性质尚未明了。已证明对外源的胰岛素抗性及糖元分解减退是有关因素。血吸虫病累及胰腺已有报告,胰腺病变可能存在病原学的重要性。本文作者研究了血吸虫性肝纤维化患者静注葡萄糖时间内的胰岛素反应,用以估计胰腺在葡萄糖耐量减低中的作用,并与非血吸虫性门静脉硬变患者进行了比较。10例男
It has been demonstrated that schistosomiasis is particularly impaired glucose intolerance in patients with liver fibrosis, especially in patients with advanced ascites. The exact nature of glucose utilization is not yet known. It has been shown that exogenous insulin resistance and glycogenolysis are related factors. Schistosomiasis has been implicated in the pancreas, and the importance of etiology may exist in pancreatic lesions. The authors studied the insulin response during intravenous glucose administration in patients with schistosomiasis liver fibrosis to assess the role of the pancreas in impaired glucose tolerance and compared with those in non-schistosomiasis patients with portal venous shunts. 10 cases of men