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我科1979~1983年收治的1101例病毒性肝炎中有6例合并糖尿病,报道如下:例1,翟×,男,46岁,1979年因患“急黄肝”,给予每日静点10%葡萄糖500毫升,5天后查空腹血糖167mg/dl,尿糖阴性,于输液同时每日皮下注射16单位胰岛素,9天后血糖正常,但病情转为重症肝炎,用强的松治疗,住院11个月后血糖265mg/dl,尿糖卅~卌,控制饮食20天后血糖降至正常出院(共住院711天).以后病情反复波动,黄疸持续,形成慢活肝,HBsAg持续阳性,1982年再次入院,空腹血糖130mg/dl,继续控制饮食,此例HBsAg特异性免疫复合物阳性.
In our department from 1979 to 1983 admitted to 1101 cases of viral hepatitis in 6 cases with diabetes, reported as follows: Example 1, Zhai ×, male, 46 years old, 1979 due to suffering from “acute yellow,” given daily static point 10 % Glucose 500 ml, 5 days after the fasting blood glucose 167mg / dl, urine negative in the infusion while subcutaneous injection of 16 units of insulin, 9 days after the normal blood glucose, but the disease turned severe hepatitis, with prednisone treatment, hospital 11 Month blood glucose 265mg / dl, urine sugar 卅 ~ 卌, 20 days after the control diet dropped to normal blood glucose (a total of 711 days of hospitalization.) After the disease repeatedly fluctuated, jaundice continued to form a slow-living liver, HBsAg continued positive again hospitalized in 1982 , Fasting blood glucose 130mg / dl, continue to control the diet, this case of HBsAg-specific immune complex positive.