胰岛素诱发的心力衰竭

The Heart Failure Induced by Insulin Treatment

通过观察Ⅱ型糖尿病（ＮＩＤＤＭ）合并冠心病（ＣＨＤ）和单纯ＮＩＤＤＭ两组病人在给予胰岛素治疗１０～３０ｄ后，最终均发生水肿，而心衰的发生则以合并ＣＨＤ组明显高于单纯ＮＩＤＤＭ组（Ｐ＜０．０１）。结果表明，胰岛素治疗过程中可引起水钠潴留，导致心脏的负荷逐渐增加，从而诱发心力衰竭。

Both Group of type Ⅱdiabetes(NIDDM)patients with coronary heart disease(CHD)and a group of NIDDM patients without CHD were given insulin treatment for 10～30 days,and at the end edema was found in all the cases,while heart falure much more frequently occurred to the CHD patients with NIDDM than to the CHD patients without NIDDM(P<0.01).The results showed:insulin treatment could lead to retentions of water and salt which in turn,could increase heart load,causing heart failune.