肝脏是人体最重要的物质代谢器官,原发性肝癌患者在临床上可出现多种物质代谢异常的特殊症状,肝癌伴低血糖症是其中的一种.我科从1991～1995年收治的82例原发性肝癌患者中有3例出现低血糖症.现报告如下.例1,患者,黄××,女性,53岁,因上腹部胀痛不适半年余,伴纳差、乏力、消瘦2个月,于1991年5月28日入院.入院前在外院做B超CT检查诊断为原发性肝癌.查体:T36.2℃、P80次/min,R20次/min、BP16/12kPa,一般性情况差,面色晦暗,消瘦,浅表淋巴结不大,心肺听诊未见异常,右上腹膨隆,肝于右肋下13 cm,剑突下18cm,质硬,边钝,表面凹凸不平,脾脏平左肋,腹水征阳性,双下肢无浮肿.B超肝右叶可见:129×66 mm、67×64mm,左叶见:109×60mm多个增光团,少量腹水.肝功能 The liver is the most important material metabolism organ in the human body. Patients with primary liver cancer may have a variety of special symptoms of metabolic abnormalities in the clinic. Hepatocellular carcinoma with hypoglycemia is one of them. Our department was admitted from 1991 to 1995. 82 3 cases of primary liver cancer patients have hypoglycemia. The present report is as follows. Example 1, patients, Huang × ×, female, 53 years old, because of discomfort in the upper abdomen for more than half a year, with analgesia, fatigue, weight loss 2 Month, admitted to hospital on May 28, 1991. Before admission, he was diagnosed as primary liver cancer by B-ultrasound CT in the outer court. Physical examination: T36.2°C, P80 beats/min, R20 beats/min, BP16/12kPa, Poor general condition, dark complexion, weight loss, superficial lymph nodes, no abnormalities in cardiopulmonary auscultation, right upper abdomen bulging, liver in the right lower ribs 13 cm, xiphoid 18cm, hard, blunt, uneven surface, spleen Flat left rib, positive ascites, no edema of both lower extremities. The right upper lobe of B ultrasound can be seen: 129×66 mm, 67×64 mm, left lobe: 109×60 mm multiple light-enhancing groups, small amount of ascites, liver function