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糖尿病并发脑梗塞有其特殊的发病机制及临床特点,现将我院1990～1995年收治的糖尿病性脑梗塞21例结合文献与临床分析报道如下.1 临床资料1.1 一般资料 男8例,女13例,年龄53～71岁,平均57.3±8.0岁;既往有糖尿病史5～7年者5例,8～9年者10例,10年以上者6例,均为非胰岛素依赖型糖尿病,且为血糖控制不良者.原有高血压病史者10例,伴高脂血症者14例.1.2 临床表现 偏瘫15例,肌力Ⅲ级以下6例,IV级9例;感觉障碍5例,无症状4例,2例伴假性球麻痹.1.3 CT扫描 基底节5例,内囊3例,额叶2例,顶叶1例,多发性梗塞10例.
Diabetes complicated with cerebral infarction has its special pathogenesis and clinical features, now our hospital from 1990 to 1995, 21 cases of diabetic cerebral infarction combined with literature and clinical analysis reported as follows.1 Clinical data 1.1 General information Male 8 cases, female 13 Cases, aged 53 to 71 years, mean 57.3 ± 8.0 years; previous history of diabetes 5 to 7 years in 5 cases, 8 to 9 years in 10 cases, more than 10 years in 6 cases, are non-insulin-dependent diabetes mellitus, and For the poor control of blood glucose.Of the original history of hypertension in 10 cases, with hyperlipidemia in 14 cases.1.2 clinical manifestations of hemiplegia in 15 cases, 6 cases of muscle strength below grade III, 9 cases of grade IV; 5 cases of sensory disturbances, no Symptoms in 4 cases, 2 cases with pseudobulbar palsy.1.3 CT scan of basal ganglia in 5 cases, 3 cases of internal capsule, frontal 2 cases, parietal 1 case, multiple infarcts in 10 cases.