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例1.男,63岁,因慢性支气管炎、肺心病于1992年10月25日入院.既往无糖尿病及低血糖症病史.住院期间饮食正常.入院后经吸氧、抗生素等治疗病情稳定.入院时空腹血糖4.8mmol/L.肝肾功能正常.10月29日给极化液静滴,其成份为10%葡萄糖500mL.10%氯化钾10mL及能量合剂2支(每支含普通胰岛素4U,ATP20mg).3h静滴完毕后,病人出现头晕、心慌、出汗、精神下振,半小时后症状渐消失.次日静滴完毕后再次出现类似反应.体检:BP15/1OkPa,嗜睡状,皮肤湿润,HR 110次/min,急送检血糖为2.6mmol/L,给50%葡萄糖40mL静注,5min后症状缓解.诊断为低血糖反应.将极化液中能量合剂停用后无类似发作.复查空腹血糖为5.1mmol/L.例2.女,47岁,因冠心病、心绞痛于1993年2月27
Example 1. Male, 63 years old, suffering from chronic bronchitis and pulmonary heart disease admitted to hospital on October 25, 1992. There was no history of diabetes and hypoglycemia in the past, and the diet was normal during hospitalization. After admission, her condition was stabilized by oxygen and antibiotics. On admission, fasting blood glucose was 4.8 mmol / L. Liver and kidney function was normal. On October 29, a solution of polarized fluid was intravenously dripped. The composition consisted of 10 mL of 10% glucose, 10 mL of potassium chloride, 10 mL of potassium chloride and 2 energy mixes (each containing normal insulin 4U, ATP20mg) .3h after intravenous infusion, the patient appeared dizzy, palpitation, sweating, vibration of the spirit, half an hour later gradually disappeared .After the next intravenous infusion of a similar reaction again. Physical examination: BP15 / 1OkPa, drowsiness , Skin moist, HR 110 beats / min, rapid blood glucose test for 2.6mmol / L, 40mL 50% glucose intravenous injection, 5min after the symptoms were relieved.Is diagnosed as hypoglycemia.Polar fluid mixture after the agent is disabled Similar to attack .Flag fasting blood sugar was 5.1mmol / L. Example 2. Female, 47 years old, due to coronary heart disease, angina in February 1993 February 27