糖尿病可引起心脏冠状动脉粥样硬化和心肌病变。那么,糖尿病影响心脏的临床表现在发病多长时间后才出现?其临床改变有什么特点?本文通过对我院1981～1986年资料较完整的46例糖尿病住院病例进行分析,并与23例冠心病例进行比较,提出一些看法。材料和方法一、病例选择: 1.糖尿病诊断标准:(1)多尿、多饮、多食及体重减少明显;(2)两次以上空腹血糖≥140mg/dl;(3)口服葡萄糖(75克)耐量试验,按世界卫生组织1985年标准。全部46例糖尿病均符合以上诊断标准。冠心病的诊断标准则按1979年上海会议 Diabetes can cause heart coronary atherosclerosis and myocardial lesions. So, diabetes, the clinical manifestations of the heart appear after the onset of how long? What is the clinical changes of its characteristics? This article by our hospital from 1981 to 1986 more complete data of 46 cases of diabetic inpatients were analyzed and 23 cases of the crown Heart cases were compared, put forward some views. Materials and Methods First, the choice of cases: 1. Diabetes diagnostic criteria: (1) polyuria, polydipsia, more food and weight loss significantly; (2) more than two fasting blood glucose ≥ 140mg / dl; (3) oral glucose G) tolerance test, according to the 1985 WHO standard. All 46 cases of diabetes were in line with the above diagnostic criteria. The diagnostic criteria of coronary heart disease according to the 1979 Shanghai Conference