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患者男,69岁。因间发性昏厥五月余,伴下腹部包块一月于1985年8月10日入院。自入院前5月起,清晨起床后常突然昏例,全身出冷汗,面色苍白,四肢阵发性抽搐,每日2～3次,于1985年8月以“脑血管意外”收住神经内科治疗。发作时,每当静脉推注50％的葡萄糖溶液或口服大量的糖水(二至三两)后,症状缓解,而以“胰岛细胞瘤”出院。回家后上述症状仍发作,约一月后,其妻发现下腹包块,于9月再次收外科治疗。体查:营养一般,体温、脉搏、呼吸均正常,血压110/80mmHg。心、肺未见异常,下腹隆起,全腹软,无压痛,脐下三指扪及一不规则质实肿块,大小约15×8厘米,无触痛,稍活动。实验室检查:白细胞5700/mm~3,中性63％,嗜酸性1％,淋巴30％;血小板15000;钾15.4mg％,钠146mg％,氯556mg％,钙9.8mg％。B
Male patient, 69 years old. Due to an episode of fainting in May, with the next abdominal mass January January 1985, admitted to hospital. From May before admission, the patient often got faint after getting up early in the morning and got cold sweat, pale face and paroxysmal convulsions on the limbs, 2 or 3 times a day. In August 1985, he received neurology treatment. Attack, whenever a 50% intravenous glucose solution or oral administration of large amounts of syrup (two to three two), the symptoms ease, and “islet cell tumor” discharged. After returning home the above symptoms are still seizures, about January, his wife found the lower abdomen mass, in September again received surgical treatment. Physical examination: general nutrition, body temperature, pulse, breathing are normal, blood pressure 110 / 80mmHg. Heart, lung no abnormalities, lower abdomen bulge, full abdomen soft, no tenderness, below the navel palpable an irregular quality of the tumor, the size of about 15 × 8 cm, no tenderness, a little activity. Laboratory tests: leukocyte 5700 / mm ~ 3, neutral 63%, eosinophilic 1%, lymphatic 30%; platelet 15000; potassium 15.4mg%, sodium 146mg%, chlorine 556mg%, calcium 9.8mg%. B