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目的探讨老年糖尿病并发低血糖症的发病因素、特征以及治疗办法。方法回顾性分析我院2010年9月～2012年9月收治的50例老年糖尿病并发低血糖症病人的临床资料。结果老年糖尿病病人一旦确诊低血糖症,病情较轻者给予立即进食或者补充糖水。病情较严重的病患,则需要立即静脉注射50%的葡萄糖液60～100ml,再给予10%的葡萄糖液静脉滴注,低血糖症比较顽固者,增加氢化可的松静脉滴注。全部病人经过及时治疗,均病愈出院。结论不合理服用降糖药或者胰岛素是导致老年糖尿病病人并发低血糖症的重要因素,及时确诊,并给予对症支持治疗,抢救成功率显著。
Objective To explore the pathogenesis, characteristics and treatment of senile diabetes with hypoglycemia. Methods The clinical data of 50 elderly diabetic patients with hypoglycemia admitted to our hospital from September 2010 to September 2012 were retrospectively analyzed. Results elderly diabetic patients once diagnosed with hypoglycemia, less severe illness given immediate food or add sugar. Serious illness in patients, you need immediate intravenous injection of 50% glucose 60 ~ 100ml, then give 10% glucose intravenous infusion, more stubborn hypoglycemia, increased hydrocortisone intravenous infusion. All patients after timely treatment, were discharged from hospital. Conclusion Irrational use of hypoglycemic agents or insulin is an important factor leading to hypoglycemia in elderly patients with diabetes, timely diagnosis and symptomatic supportive treatment, salvage success rate was significant.