中老年糖尿病患者脑梗塞的CT与临床分析

本文对高血压病并糖尿病的脑梗塞、无高血压病的糖尿病的脑梗塞和高血压病并脑梗塞三组病人的临床与CT作了初步对照分析,表明三组的临床类型均以运动性偏瘫和感觉运动性卒中占绝大多数(90％以上),CT所示缺血性脑梗塞的部位,第一组以基底节区较多,第二、三组以大脑其他部位稍多。此外,本文对糖尿病性神经病的漏诊原因、无症状糖尿病漏诊造成非酮性高血糖高渗性昏迷和优降糖致低血糖昏迷等作了初步讨论。

A comparative study of CT and clinical data in middle and old age diabetic patients with cerebral infarction was conducted. Subgroups of diabetes associated with hypertension or not, and of hypertensive infarction were evaluated. It has been demonstrated that the clinical types of motor hemiphegia and sensory-mortor stroke account for the majority (90%) of all three subgroups basal ganglion infarction is the more common site for the subgroup of diabetes associated with hypertension other regions infarction is the more common site for the subgroups of diabetes without hypertension and of hypertensive infarction. The cause of leaving out the diagnosis of diabetic neuropathy in the cases reported has been checked up, hyperosmolar nonketotic hyperglycemic coma occurred in asymptomatic diabetes and hypoglycemic coma caused by glibenclamide was discussed.