32例肝硬化并肝原性糖尿病临床分析

Clinical Analysis on 32 Cases of Liver Cirrhosis Complicated by Hepatogenic Diabetes

目的探讨肝硬化合并肝源性糖尿病的临床特点。方法对符合诊断标准的32例患者的临床特征、发病机制、治疗的方法及预后进行分析。结果肝原性糖尿病以肝硬化表现为主，多见于男性，以病毒性肝炎为常见，“三多一少”的典型症状少见，很少发生糖尿病并发症，通过饮食控制、改善肝功能、胰岛素降血糖等治疗，疗效大多较佳。结论肝硬化易发生糖代谢紊乱，最终发展为糖尿病。肝硬化患者应常规检测血糖避免漏诊。应积极治疗原发病，改善肝功能，血糖控制不佳时及早使用胰岛素。

Objective To explore the clinical features of patients with liver cirrhosis complicated by hepatogenic diabetes. Methods The clinical feature, pathogenesy, therapic method and prognosis of 32 cases who were diagnosed according to diagnostic criteria was analyzed. Results The results showed that the main clinical manifestation of liver idioplasmic diabetes is liver cirrhosis, and this dis- ease occurred more commonly with virus hepatitis in males treatment, complement regard hypoglycaemic as its therapeutical principle. Typical symptom of＂ three more, one less＂ is rare, diabetic complication hardly occurs. The curative effects is good by alimentary control, improving liver function, using insulin to lower blood sugar. Conclusion Saccharic metabolic disorder occurred easily in patient with hepatic cirrhosis,eventually develope into diabetes. Patients with hepatic cirrhosis should detect the level of blood sugar to avoid missed diagnosis, active treatment primary affection, improving liver function should be performed, and using insulin as soon as possible when plasma glucose poorly controlled.