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患者男性,58岁,因发作性意识障碍8年,于1983年1月23日入院。近两年来约1～4月发作一次,静注葡萄糖后症状消失,近20天来发作频繁且重。体检:体温36.6℃、脉搏76次、血压110/70mmHg。实验室检查:血红蛋白16.4g/dl,白细胞10,200,空腹血糖45mg%,发病时血糖最低到25mg%,血糖耐量试验曲线低平,胰岛素释放试验基本正常。腹腔动脉选择性造影:胰腺部位有直径3cm圆形密度增高阴影,
The patient, male, 58 years old, was admitted to hospital on January 23, 1983 due to eight episodes of episodic disturbance of consciousness. In the past two years about 1 ~ April attack once, symptoms disappeared after intravenous glucose, frequent and heavy attacks in the past 20 days. Physical examination: body temperature 36.6 ℃, pulse 76 times, blood pressure 110 / 70mmHg. Laboratory tests: hemoglobin 16.4g / dl, white blood cells 10,200, fasting blood glucose 45mg%, the lowest blood glucose at onset of 25mg%, blood glucose tolerance test curve flat, insulin release test was normal. Selective celiac arteriography: the pancreas has a diameter of 3cm circular density increased shadow,