摘要
本文结合1例胰腺纤维钙化性糖尿病患者的临床资料和文献复习,分析该病的病因、临床表现、诊断标准及治疗、预后等。该病是一种继发于胰腺外分泌疾病的特殊类型糖尿病,主要见于热带发展中国家营养较差的青年人。其特点为胰腺内、外分泌功能同时受累,表现为胰管结石,胰腺钙化及糖尿病。治疗主要包括内科改善营养、控制血糖等及外科胰管取石。临床上容易误诊误治,值得重视。
Based on the clinical data of a case of fibrocalculous pancreatic diabetes(FCPD)and literature review,we analyze the etiology,clinical manifestations,diagnostic criteria,treatment,and prognosis of the disease.FCPD is a unique form of diabetes mellitus secondary to pancreatic exocrine disease.The disease is restricted to adolescent or young adult of either sex with poor nutrition in tropical regions of the world.FCPD is characterized by simultaneous involvement of pancreatic endocrine and exocrine functions with clinical manifestations as pancreatic duct stones,pancreatic calcification,and diabetes mellitus.Treatment includes improved nutrition,blood glucose control,and pancreatic duct lithotomy.It could be easy to be misdiagnosed and mistreated,which deserves more attention from clinicians.
作者
陈彦乐
陈国芳
刘超
Chen Yanle;Chen Guofang;Liu Chao(Endocrinology Department,Jiangsu Province Hospital on Integration of Chinese and Western Medicine,Nanjing University of Traditional Chinese Medicine,Nanjing 210028,China)
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2021年第2期165-167,共3页
Chinese Journal of Endocrinology and Metabolism
基金
国家自然科学基金(81800756)
江苏省六大人才高峰(WSN-035)。
关键词
胰腺钙化
糖尿病
胰管结石
Pancreatic calcification
Diabetes mellitus
Pancreatic duct stones
