糖尿病患者の死因

剖検例933例についての統計的観察

抄録

Nine hundred and thirty three diabetic autopsy cases were collected from the Annual Reports of autopsy cases which were published by the Japanese Pathological Society for the year 1958-1965 and statistical analyses were made for the cases.
The most frequent cause of death in 811 primarydiabetes cases was vascular complications. Nephropathy was a cause of death in 17.7 per cent, whereas cerebral vascular accidents were the cause of death in 8.8 per cent and ischemic heart disease in 6.0 per cent of the cases, respectively. The next ranking cause of death was infections. Pulmonary tuberculosis was seen in 8.1 per cent, purulent lung infections in 5.5 per cent, urinary tract infections in 3.4 per cent, biliary tract infections in 1.3 per cent and sepsis in 1.3 per cent of the cases. Malignant neoplasms were a cause of death in 15.6 per cent of the cases. Cancer of the stomach was thought as a cause in 3.2 per cent and lung cancer in 3.3 per cent. Diabetic coma was a cause of death in 6.2 per cent and it was a major cause in juvenile diabetics.
One hundred and twenty-two of the 933 cases were classified as secondary-diabetes. The secondarydiabetes group consisted of 51 cases of liver cirrhosis, 27 cases of cancer of the pancreas, 22 cases of steroid diabetes, 7 cases of hemochromatosis, 7 cases of acromegaly and 3 cases of Cushing disease. There was no case of hyperthyroidism and of hyperfunction of the adrenal glands. The presence of diabetic glomerulosclerosis was described in 10.6 per cent of the secondary-diabetes cases.