自限性水肿已公认为胰岛素治疗的并发症,新诊断的以及控制不良的糖尿病病人,在原先无心脏病临床证据而又引起明显心力衰竭者迄今未有过报道。本文报道1例82岁白种妇女,有22年Ⅰ型糖尿病史,近4月来糖尿病症状加重。患者原先无高血压及心脏病。开始治疗时给予每天皮下注射长效牛/猪胰岛素50U。 Self-limiting edema has long been recognized as a complication of insulin therapy. Newly diagnosed as well as poorly controlled diabetic patients have not been reported to date in the absence of clinical evidence of heart disease that caused significant heart failure. This article reports a case of 82-year-old white women, 22-year history of type 1 diabetes, diabetes mellitus in recent 4 months increased. The patient had no previous hypertension and heart disease. At the start of treatment, subcutaneous daily injection of 50U of long-term bovine / porcine insulin was given.