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仅有肝硬化或仅有败血症者并发低血糖症少见。作者发现低血糖症是并有败血症的肝硬化病人的一个常见的并发症。作者报告一组30例经组织学检查及血培养证实有败血症的肝硬化病人,全部均无用过葡萄糖液输注及降糖药,亦无近期饮酒史。每天空腹采血,取血后10分钟内用血糖氧化酶法测定血糖水平,并测动脉血pH 和动脉血乳酸盐水平。结果30例中15例空腹血糖低于2.8(平均1.8,范围0.5～2.6)mmol/L,均发生循环衰竭.这15例中,10例低血糖症在循环衰竭时出现,5例在循环衰竭前5小时内出现。循环衰竭时,10例动脉血 pH 低于7.36(范围7.03～7.46),12例动脉血乳酸盐高于
Only cirrhosis or sepsis complicated by hypoglycemia rare. The authors found that hypoglycemia is a common complication of cirrhotic patients with sepsis. The authors report a group of 30 patients with cirrhosis confirmed by histological examination and blood culture, all of whom had no history of glucose infusion and hypoglycemic agents and no history of recent alcohol consumption. Fasting blood every day, blood glucose within 10 minutes after the determination of blood glucose and blood glucose levels, and measured arterial blood pH and arterial blood lactate levels. Results Fifteen of the 30 patients had a fasting blood glucose of less than 2.8 (average 1.8, range, 0.5-2.6 mmol / L) and all had circulatory failure. Of the 15 patients, 10 had hypoglycemia during circulatory failure and 5 had circulatory failure Appear within the first 5 hours. Circulation failure, 10 cases of arterial blood pH was lower than 7.36 (range 7.03 ~ 7.46), 12 cases of arterial blood lactate higher than