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低血糖是一种多种原因引起的临床综合征。低血糖造成的危害很大,重度持久的低血糖可引起脑细胞损害甚至危及生命。我院4例低血糖患者,其中3例由于出现低血糖昏迷伴偏瘫、意识不清而误诊为急性脑血管病(CVD),1例伴有心津失常而误诊为病窦综合征。例1,女,72岁。因昏迷、小便失禁、右侧肢体偏瘫1小时入院。有糖尿病史5年。因口服降糖药血糖控制不理想,改胰岛素每3餐前30分14U皮下注射,并控制饮食。发病前2日测空腹血糖16.7mmol/L,尿糖++,自行加大胰岛素剂量至每次18U皮下注射。发病前1日因牙痛未进饮食,继续使用胰岛素,未监测血
Hypoglycemia is a clinical syndrome caused by a variety of causes. Hypoglycemia caused great harm, severe long-lasting hypoglycemia can cause brain cell damage and even life-threatening. 4 cases of hypoglycemia in our hospital, of which 3 cases due to hypoglycemic coma with hemiplegia, confusion and misdiagnosed as acute cerebrovascular disease (CVD), 1 case of cardiac dysfunction and misdiagnosed as sick sinus syndrome. Example 1, female, 72 years old. Due to coma, urinary incontinence, right limb hemiplegia 1 hour admitted. Have a history of diabetes for 5 years. Due to oral hypoglycemic agents blood glucose control is not ideal, change insulin every 30 minutes before 14 subcutaneous injection, and control the diet. On the 2nd before the onset of fasting blood glucose 16.7mmol / L, urine sugar + +, to increase the dose of insulin to each 18U subcutaneous injection. 1 day before the onset of toothache did not enter the diet, continue to use insulin, not monitoring blood