目的提高对低血糖反应的认识,减少误诊,提高救治水平。方法对20例有神经系统症状和体征,初诊为脑血管意外的低血糖反应患者的临床资料进行回顾性分析。结果20例患者血糖均明显降低,所有患者均给予高渗葡萄糖治疗,19例患者症状体征消失,1例死亡。结论对于有神经系统症状、体征患者,应及时检测血糖,早期诊断低血糖反应,以免延误了治疗时机。 Objective To improve the understanding of hypoglycemic response, reduce misdiagnosis and improve the treatment level. Methods The clinical data of 20 patients with neurological symptoms and signs and newly diagnosed as cerebrovascular accident were retrospectively analyzed. Results All 20 patients had significantly lower blood glucose levels. All patients were given hypertonic glucose therapy. Symptoms and signs disappeared in 19 patients and 1 patient died. Conclusion For patients with neurological symptoms and signs, blood glucose should be promptly detected and the hypoglycemic response diagnosed early so as not to delay the timing of treatment.