本文对24例晚期血吸虫病(晚血)患者作了糖代谢观察,发现患者的糖代谢有明显异常。13例作了胰岛素测定,空腹胰岛素高于正常者8例,胰岛素释放曲线13例均异常;其中10例作了肝活检的电镜观察,发现肝细胞内充满大量糖原和滑面内质网,提示肝细胞受损害和糖原利用障碍。还对晚血患者糖代谢紊乱的机理作了讨论。 In this paper, 24 patients with advanced schistosomiasis (late blood) made glucose metabolism, found that patients with significant abnormal glucose metabolism. Thirteen patients underwent insulin determination. Fasting insulin was higher than normal in 8 cases and insulin release curve in 13 cases were abnormal. Among them, 10 cases underwent liver biopsy under electron microscope and found that hepatocytes were filled with a large amount of glycogen and smooth endoplasmic reticulum, Prompted damage to liver cells and glycogen utilization disorders. The mechanism of glucose metabolism in patients with late blood was also discussed.