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对32例2型糖尿病患者作彩色多普勒超声检查,观察左中指固有动脉、足背动脉和心脏血流动力学改变,并与19例非糖尿病者比较。发现糖尿病患者肢体远端动脉管壁增厚,走行迂曲,管腔轻度狭窄;血流频谱呈双相波,无舒张晚期频谱。糖尿病组的左房内径增大,二尖瓣舒张期频谱E峰降低,A峰升高,E/A比值减少。提示2型糖尿病未发生四肢缺血表现以前,已有上、下肢远端动脉硬化、狭窄和心脏舒张功能不全。
Color Doppler echocardiography was performed in 32 patients with type 2 diabetes mellitus. The left and middle third arteries, the dorsalis pedis artery and the hemodynamics were observed and compared with 19 non-diabetic patients. Diabetic patients found distal limb artery wall thickening, walking tortuous, mild stenosis; blood flow spectrum was biphasic, no late diastolic spectrum. Diastolic diameter of diastolic left atrium, mitral diastolic spectrum E peak decreased, A peak increased, E / A ratio decreased. Tip type 2 diabetes did not occur before the performance of limb ischemia, distal and distal lower limb atherosclerosis, stenosis and diastolic dysfunction.