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目的探究低血糖症误诊患者的临床原因分析和防治策略。方法资料随机选自2010年6月—2013年6月在河南省公安消防总队医院诊治的低血糖症但初诊被误诊的患者20例,分析患者误诊以及防治效果情况。结果本组20例低血糖症误诊患者,误诊成脑血管疾病9例,酒精性中毒脑病4例,冠心病的心绞痛4例,肺性脑病2例,癫痫发作1例。经过针对性的处理和治疗后的10min~2h内,患者的症状均缓解,且血糖恢复正常,没有出现死亡病例。结论由于临床低血糖症的表现种类比较多,极易被误诊成其他疾病,因此需加强对低血糖临床症状知识的掌握,便于疾病的早期确诊和治疗,从而提高临床治疗效果。
Objective To investigate the causes of misdiagnosis of patients with hypoglycemia and prevention and treatment strategies. Method data were randomly selected from June 2010 - June 2013 in Henan Province Public Security Fire Brigade hospital diagnosis and treatment of hypoglycemia but the newly diagnosed patients were misdiagnosed 20 cases, analysis of misdiagnosis and prevention and treatment of patients. Results In the 20 patients with misdiagnosis of hypoglycemia, 9 cases were misdiagnosed as cerebrovascular disease, 4 as alcoholic encephalopathy, 4 as angina pectoris, 2 as pulmonary encephalopathy and 1 as epileptic seizure. After the targeted treatment and treatment of 10min ~ 2h, the patient’s symptoms were relieved, and blood glucose returned to normal, there was no deaths. Conclusion Clinical manifestations of hypoglycemia are more likely to be misdiagnosed as other diseases due to the different manifestations of clinical hypoglycemia. Therefore, it is necessary to strengthen knowledge of the clinical symptoms of hypoglycemia and facilitate the early diagnosis and treatment of the disease so as to improve the clinical therapeutic effect.