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本文以1例反复发作以精神失常为主要表现的低血糖症被误诊10年为例,讨论胰岛β细胞瘤的病因、临床表现、诊断、治疗、及分析误诊的原因,得出缘于低血糖发作时,以脑功能障碍的表现为主,主要为精神异常,而交感神经兴奋的表现如心慌、软弱、手足颤抖、面色苍白、大汗、饥饿感等症状不明显,故而一度误诊为精神疾病;其次,患者反复发作,家属未送患者住院治疗,每次家属代述门诊就诊,没有细致的观察病情,导致误诊,且胰岛β细胞生长缓慢,肿瘤较小时不易被查出,易漏诊。
In this paper, a case of recurrent episodes of psychosis as the main manifestation of hypoglycemia was misdiagnosed for 10 years as an example to discuss the etiology, clinical manifestations, diagnosis, treatment, and analysis of pancreatic β-cell tumors, and the reasons for misdiagnosis, resulting from hypoglycemia Attack, the performance of brain dysfunction mainly mental abnormalities, and sympathetic excited performance such as palpitation, weakness, hand trembling, pale, sweating, hunger and other symptoms is not obvious, so once misdiagnosed as mental illness ; Second, patients recurrent episodes of family members sent patients hospitalized, each family representatives outpatient treatment, no detailed observation of the disease, leading to misdiagnosis, and pancreatic β-cell growth is slow, the tumor is not easy to be found when small, easy to miss.