糖尿病性植物神经病,表现为胃肠道、泌尿生殖系,血管一植物神经的症状及神经性关节病等。糖尿病伴骨关节病变约占0.1～6.8%,(Radiology:89:265,1967)同时损及指骨、长骨与脊柱者较为少见,现报告如下。男,62岁,因糖尿病伴腰酸、左下肢痛、晕厥与腹泻等,于1982年5月住院,患者于1972年确诊为“糖尿病”。曾继续使用D860、降糖灵、正规胰岛素治疗,因疗效差自行停药已5年。1年前感四肢远端麻木、 Diabetic neuropathy, manifested as gastrointestinal, genitourinary, vascular-autonomic symptoms and neurological joint disease. Diabetes with bone and joint disease accounts for about 0.1 ~ 6.8%, (Radiology: 89: 265,1967) while affecting the phalanx, long bones and spine are relatively rare, are as follows. Male, aged 62, was hospitalized in May 1982 due to diabetes with backache, left lower extremity pain, syncope and diarrhea. The patient was diagnosed with “diabetes” in 1972. Have continued to use D860, hypoglycemic, regular insulin therapy, due to poor efficacy of self-withdrawal has been 5 years. A year ago feeling limbs numbness,