慢性肾功能衰竭病者约50％的葡萄糖耐量试验有异常,重症尿毒症患者的葡萄糖耐量试验一般显示明显减退,认为主要是毒素的影响,即代谢产物积聚,致使组织利用糖发生障碍而造成糖耐量异常,但发生自发性低血糖很少见,现将我院近来收治的一例报告如下。患者,女,70岁。因反复蛋白尿3～4年,水肿一年余,纳差月余,昏迷3小时急诊入院。既往糖尿病史约5年,最近相当长时间未服用过降糖药物。查体:深昏迷状态,营养差,面部及双下肢可见明显指凹性水肿。呼吸深 About 50% of patients with chronic renal failure have abnormal glucose tolerance test. Glucose tolerance test in patients with severe uremia generally shows a significant decrease, which is mainly due to the toxin, that is, the accumulation of metabolites, causing the organization to use sugar to cause disorders and cause sugar Abnormal tolerance, but the occurrence of spontaneous hypoglycemia is rare, now admitted to our hospital a recent report as follows. Patient, female, 70 years old. Due to repeated proteinuria 3 to 4 years, edema more than a year, anorexia more than 3 hours coma emergency admission. Past history of diabetes for about 5 years, for quite a long time without taking hypoglycemic drugs. Physical examination: deep coma, poor nutrition, visible facial and lower extremity obvious concave edema. Deep breathing