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对胰岛B细胞瘤引发低血糖误诊精神病1例分析如下。1病历摘要女,66岁。主因间断抽搐伴意识障碍27 a,加重1个月,于2009-10-06入院。患者27 a前,多于清晨空腹或下次餐前出现发作性抽搐,牙关紧闭,四肢强直,大汗,神志不清,偶有大、小便失禁,持续3~5 min自行缓解。开始数月发作1次,就诊于当地精神病院,诊断为精神病,口服奋乃静2片,1次/d,效果
A case of misdiagnosis of psychosis caused by islet B cell tumor of hypoglycemia is as follows. 1 medical record summary female, 66 years old. Mainly due to intermittent convulsions associated with disturbance of consciousness 27 a, aggravate 1 month, admitted to hospital 2009-10-06. Patients 27 a before, more than early morning fasting or the next onset of episodes of seizures, tingling closed, limb stiffness, sweating, confusion, occasionally large, urinary incontinence, sustained 3 to 5 min to ease. The first few months of onset 1, visited the local mental hospital, diagnosed as psychiatric, oral perphenazine 2, 1 / d, the effect