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自发性发作性低血糖主要原因之一是胰岛细胞瘤,临床上以反复发作性低血糖及脑功能障碍等为主要表现,1985年我们遇到一例,曾误诊为“发作性睡病”,现报告如下。病例摘要:男,28岁。1985年6月12日,患者因准备结婚,过度劳累,但无明显不适,晚上10点钟就寝,次日清晨未醒,呼之能应,可进食水,无二便失禁。下午4时在去医院途中清醒,过后如常人。到某医院检查无阳性体征。同年9月26日被雨淋后感冒,当晚入睡后,次日又未醒,中午进食后下午清醒,又到另一医院检查,诊断为“突发性意识丧失”。此后经常发作。均是晚上入睡,第二天清晨不醒,伴有全身出汗如水洗,到次日中午或下午经进食后
One of the main causes of spontaneous paroxysmal hypoglycemia is islet cell tumor, with clinical recurrent hypoglycemia and brain dysfunction as the main performance in 1985, we encountered a case, had misdiagnosed as “narcolepsy”, and now The report is as follows. Case Summary: Male, 28 years old. June 12, 1985, due to be prepared to get married, overworked, but no obvious discomfort, go to bed at 10 o’clock in the morning, the next morning did not wake up, call the energy should be able to eat water without incontinence. Sober on the way to the hospital at 4 p.m. To a hospital examination no positive signs. On the 26th of September the same year, she was exposed to a cold after being rained. After she fell asleep that night, she did not wake up the next day. After midday afternoon, she was awake and went to another hospital to diagnose “sudden loss of consciousness.” After frequent attacks. Are to sleep at night, wake up the next morning, accompanied by body sweating, such as washing, to the next day after noon or afternoon after eating