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目的探讨低血糖昏迷患者的病因及临床特点。方法对42例低血糖昏迷患者的临床资料进行回顾性分析。结果老年患者容易发生低血糖昏迷,占69.0%(15/24);糖尿病低血糖昏迷占83.3%(18/24),病因以用药不当为主;非糖尿病低血糖昏迷占16.7%(4/24),包括2例席汉氏综合征及1例酒精性低血糖。21例低血糖昏迷患者早期治疗效果良好。结论应加强预防低血糖的知识宣传,特别是针对老年人。建议将血糖检测作为昏迷患者的常规检测项目,以利于快速确立正确诊断。
Objective To investigate the etiology and clinical features of hypoglycemic coma patients. Methods The clinical data of 42 patients with hypoglycemic coma were retrospectively analyzed. Results Older patients were prone to hypoglycemic coma, accounting for 69.0% (15/24); diabetic hypoglycemic coma accounted for 83.3% (18/24), the cause of inappropriate medication; non-diabetic hypoglycemic coma accounted for 16.7% (4/24 ), Including 2 cases of Shear’s syndrome and 1 case of alcoholic hypoglycemia. 21 cases of hypoglycemic coma patients early treatment effect is good. Conclusions Knowledge of prevention of hypoglycemia should be strengthened, especially for the elderly. It is recommended that blood glucose testing as a routine test coma patients, in order to facilitate the rapid establishment of a correct diagnosis.