Japanese Journal of National Medical Services
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
Clinical Investigation of Diabetes Melltius
Tatsuo OCHIAI
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JOURNAL FREE ACCESS

1966 Volume 20 Issue 1 Pages 48-59

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Abstract
The author studied 143 cases of diabetics who had been admitted during the period of 1951 to 1963 in the Konodai National Hospital.
This study was aimed upon vascular disorder in diabetics clinically and pathologically.
1) Arteriosclerotic changes of diabetic cases, for example cerebral apoplexy, retinopathy, myocardial changes, leg necrosis and hypertension are observed.
2) There were 15 per cent of apoplexy, 6.7 per cent of myocardial infarction, 15 per cent of diabetic retinopathy and 7 per cent of leg necrosis among them.
3) Infectious disease of the patients were 8 per cent of tuberculosis, 11 per cent of liver and biliary duct infection and 9 per cent of urinary tract infection.
4) The main cause of death (45 per cent) were the brain, heart and renal failure with marked arteriosclerosis.
5) Nine of 11 cases showed intercapillary glomerulosclerosis, 6 cases showed hypertension with high grade sclerosis, and 9 cases had over 300 gram of enlarged heart.
6) Severe myocardial changes had some relationship with longterm history, hypertension, retinopathy and nephrotic syndrome.
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© Japanese Society of National Medical Services
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