Kito S, Miyoshi R
Division of Health Sciences, University of the Air.
Nihon Rinsho. 1992 Apr;50(4):806-10.
Diabetic autonomic neuropathy is an established disease entity. Nevertheless, it was not until 1945 that diabetic autonomic neuropathy became a target for extensive systemic research works. This is partly because of insidious progress of this disorder and lack of precise techniques of examinations. In this review article, signs and symptoms of diabetic autonomic disorders characteristic of each visceral organ are described. Among them, such symptoms as painless myocardial infarction and hypoglycemia without warning symptoms deserve special attention. It is essential for clinical doctors to realize that autonomic neuropathy is the most important part for understanding diabetic pathology.
糖尿病自主神经病变是一种已被确认的疾病实体。然而，直到1945年，糖尿病自主神经病变才成为广泛系统性研究工作的目标。部分原因是这种疾病进展隐匿且缺乏精确的检查技术。在这篇综述文章中，描述了各内脏器官特有的糖尿病自主神经功能障碍的体征和症状。其中，无痛性心肌梗死和无预警症状的低血糖等症状值得特别关注。临床医生必须认识到自主神经病变是理解糖尿病病理的最重要部分。
