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为了解2型糖尿病( D M)的猝死情况,作者将17例死于猝死者与同期住院的2型 D M 非死亡病例17例行配对比较分析。结果显示:猝死占2型 D M 死亡者的13.08% 。猝死组的病程较长, D M 慢性并发症较多,血压较高。猝死的病因中,心源性占76.47% ,非心源猝死的病因有脑溢血、 D M 肾病肾衰高血钾及肺部感染致呼吸道梗阻等。猝死的诱因有进餐、解大便、肺部感染、活动、低血糖及手术等。该研究提示,减少2型 D M 猝死发生率应积极有效地治疗 D M ,对高危者应努力预防猝死的发生。
To understand the sudden death of type 2 diabetes mellitus (DM), the authors compared and analyzed 17 routine non-fatal cases of type 2 D M in 17 death-matched and hospitalized patients. The results showed that: sudden death accounted for 13.08% of deaths of type 2 D M. Sudden death in the longer course of the disease, D M chronic complications more, high blood pressure. The cause of sudden death, heart-derived accounted for 76.47%, non-sudden cardiac death due to cerebral hemorrhage, DM nephropathy hyperkalemia and pulmonary infection caused by respiratory tract obstruction. The causes of sudden death are eating, defecation, lung infection, activity, hypoglycemia and surgery. The study suggests that reducing the incidence of sudden death of type 2 D M should be active and effective treatment of D M, high-risk persons should strive to prevent the occurrence of sudden death.