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1144例糖尿病患者的死亡原因:一项尸检研究

Cause of death in 1144 patients with diabetes mellitus: an autopsy study.

作者信息

Joron G E, Laryea E, Jaeger D, Macdonald L

出版信息

CMAJ. 1986 Apr 1;134(7):759-64.

PMID:3948093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1492448/
Abstract

The pathological reports for all patients over 13 years of age who had had an autopsy at one of three university-affiliated hospitals between 1967 and 1976 were reviewed to determine the principal cause of death. The clinical records of the patients with diabetes were reviewed to verify the diagnosis and to determine the known duration of diabetes. There were 1144 patients with diabetes mellitus and 5674 without. The sex distribution was similar in the two groups. The patients with diabetes were slightly older, males by 2.2 years and females by 3.2 years. Disease of the circulatory system was the principal cause of death in males (53.7%) and females (58.9%) with diabetes. The rates in the corresponding patients without diabetes were 37.6% and 35.2%. Neoplasms accounted for 18.9% of deaths in males with diabetes, compared with 35.7% in males without diabetes; the corresponding figures in females were 16.0% and 39.4%. Renal disease accounted for 5.9% of deaths in patients with diabetes.

摘要

回顾了1967年至1976年间在三家大学附属医院之一接受尸检的所有13岁以上患者的病理报告,以确定主要死因。查阅了糖尿病患者的临床记录,以核实诊断并确定已知的糖尿病病程。有1144例糖尿病患者和5674例非糖尿病患者。两组的性别分布相似。糖尿病患者年龄稍大,男性大2.2岁,女性大3.2岁。循环系统疾病是糖尿病男性(53.7%)和女性(58.9%)的主要死因。相应的非糖尿病患者的比例分别为37.6%和35.2%。肿瘤占糖尿病男性死亡人数的18.9%,而非糖尿病男性为35.7%;女性相应的数字分别为16.0%和39.4%。肾脏疾病占糖尿病患者死亡人数的5.9%。

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本文引用的文献

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Carcinoma of the pancreas. I. A clinical and pathologic study of 609 necropsied cases. II. The relation of carcinoma of the pancreas to diabetes mellitus.胰腺癌。一、609例尸检病例的临床与病理研究。二、胰腺癌与糖尿病的关系。
Am J Pathol. 1957 May-Jun;33(3):499-523.
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Type 2 (non-insulin-dependent) diabetes mellitus and coronary heart disease-chicken, egg or neither?2型(非胰岛素依赖型)糖尿病与冠心病——孰因孰果,抑或毫无关联?
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Pancreatic cancer and diabetes mellitus.
Diabet Med. 1984 Jul;1(2):119-21. doi: 10.1111/j.1464-5491.1984.tb01941.x.
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Cancer and diabetes mellitus. A review of the literature.癌症与糖尿病。文献综述。
J Chronic Dis. 1971 Jan;23(8):579-600. doi: 10.1016/0021-9681(71)90133-0.
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Causes of death in 3151 diabetic autopsy cases.3151例糖尿病尸检病例的死因
Tohoku J Exp Med. 1974 Apr;112(4):339-53. doi: 10.1620/tjem.112.339.
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Mortality in diabetes mellitus.
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On the cause of death in 3,254 diabetics in Berlin as shown by post mortem findings.根据尸检结果显示的柏林3254名糖尿病患者的死因
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