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糖尿病人晚期并发症多,一旦发生昏迷易误诊,现报道如下。 例1 男性,退休工人。糖尿病史20余年,长期口服优降糖。凌晨5时,突然意识丧失。查体:血压23/14kPa(1mmHg=0.133kPa),右侧中枢性面瘫、肢瘫体征,皮肤潮湿,双侧病理征(+)。追问病史,近半月恶心、呕吐、进食很少,考虑低血糖昏迷,不排除脑血管意外,急送检血糖(定点医院)。示血糖3.05mmol/L,给予50％葡萄糖80ml静注后,上述症状消失。
Late diabetic complications and more prone to misdiagnosis in the event of coma are reported below. Example 1 male, retired worker. More than 20 years of history of diabetes, long-term oral hypoglycemic. 5 am, a sudden loss of consciousness. Examination: blood pressure 23 / 14kPa (1mmHg = 0.133kPa), right central paralysis, facial paralysis signs, skin wet, bilateral pathological signs (+). Asked history, nearly half a month nausea, vomiting, eating very little, consider hypoglycemic coma, do not rule out cerebrovascular accident, anxious to check blood glucose (designated hospitals). Show blood glucose 3.05mmol / L, give 50% glucose 80ml intravenous injection, the above symptoms disappear.