糖尿病心肌病是 1 974年Ｈａｍｂｙ等首先在一族糖尿病患者中观察到的一种特殊的心肌功能缺损[1 ] ,这些患者缺乏其他通常能导致心功能低下的诱因 ,如 :高血压、嗜酒、先天性心脏病或瓣膜病。过去人们把糖尿病性心血管累及视为糖尿病晚期大血管并发症。目前认为 ,糖尿病心肌病 Diabetic cardiomyopathy is a special myocardial impairment observed first by Hamby and others in a family of diabetics in 1974 [1]. These patients lack other causes that usually lead to hypothyroidism such as hypertension, alcohol abuse, Congenital heart disease or valvular disease. In the past, people regarded diabetic cardiovascular involvement as a late-stage macrovascular complication of diabetes. Currently that diabetes mellitus