摘要
对糖尿病脑梗塞（ＤＣＩ）及年龄、性别配对的非糖尿病脑梗塞者（ＮＤＣＩ）各３６例的死因进行了回顾性对比研究。结果：①ＤＣＩ组死亡１４／３６例，ＮＤＣＩ组死亡３／３６例；死亡率前者显著高于后者（３８．９％ｖｓ８．３％，Ｐ＜０．０１）。②多器官功能衰竭（ＭＯＦ）为ＤＣＩ的直接死因。在导致ＭＯＦ中，肺部感染、心、肾功能衰竭以及电解质紊乱起了重要作用；脑梗塞类型也与病死率有关。③提出降低ＤＣＩ病死率的主要措施是加强昏迷患者的护理，预防及有效控制感染，慎用降低肾灌注的药物，保护心肾功能及纠正电解质紊乱，以防止ＭＯＦ的发生。
To explore the causes of death from cerebral infarction in diabetics(DCI) and search for a preventive strategy in hopes of decreasing the mortality rate and improving the life quality of the survivors, 36 cases each of DCI and NDCI matched for age and sex were studied. A significant higher death rate was noted in DCI(14/36) than that in NDCI(3/36) with a mortality rate of 38.9%vs 8.3%. The direct cause responsible for the high death rate in DCI was multiple organ failure which was often combined with pulmonary infection, heart and renal failure, and disorders of electrolytes. It is proposed that a good care for comatose patients, effective control of infection, prevention and treatment of heart and renal failure, and of disorders of elecrtolytes are the main measures for decreasing the mortality rate of DCI.
出处
《中国糖尿病杂志》
CAS
CSCD
1997年第2期70-72,共3页
Chinese Journal of Diabetes
关键词
糖尿病
脑梗塞
并发症
病死率
防治
Diabetes mellitus Cerebral infarction Mortality rate
