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低血糖一般是指空腹血糖低于60mg%以下而言,是一组因多种原因所致的征象。引起低血糖的原因大家熟知者依次有功能性血糖过低、胰岛β细胞瘤和肝源性低血糖等。除了暴发性肝功能衰竭或急性黄色肝萎缩外,其他感染性疾病所致之低血糖在临床上每被忽视,然而若未能及时处理将会加重病情以至危及病人生命。本文旨在提高临床医生对本征象的认识与警惕,或许对今后某些感染性疾病能提供些诊断和治疗手段。
Hypoglycemia generally refers to a group of signs of a variety of causes in the light of a fasting plasma glucose below 60 mg%. The cause of hypoglycemia known to those who are followed by functional hypoglycemia, pancreatic β-cell tumors and liver-derived hypoglycemia. In addition to fulminant hepatic failure or acute yellow liver atrophy, the other hypoglycemia caused by infectious diseases is clinically neglected. However, if not managed promptly, it will aggravate the condition and endanger the patient’s life. The purpose of this article is to improve the awareness and vigilance of clinicians on the intrinsic signs and may provide some diagnostic and therapeutic tools for some infectious diseases in the future.