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编辑同志: 笔者在临床工作中,遇低血糖致失语1例,现报告如下。患者,女性,60岁。患糖尿病史10年,因尿急,尿痛4天于1992年10月14日入院。查血糖22mmol/L,尿糖(++),尿常规蛋白(±),脓球(+++)。诊断糖尿病合并泌尿系感染。给予甲苯磺丁脲1.0g日3次,优降糖2.5mg日3次,螺旋霉素0.2g日4次口服;病情好转,血糖11.2mmol/L。11月26日晨5时突然出现失语,查体:T36.7℃,P84次/分,R20次/分,BP16/11KPa,神志清楚,呈完全性运动性失语,颈软,鼻唇沟无变浅,四肢肌力肌张力正常,双侧膝腱反射存在,双侧巴彬斯基氏征未引出
Editor comrades: The author in clinical work, case of hypoglycemia caused by a case, are as follows. Patient, female, 60 years old. The history of diabetes mellitus 10 years, due to urgency, dysuria 4 days in 1992 October 14 admission. Check blood glucose 22mmol / L, urine sugar (++), urinary protein (±), pus ball (+++). Diagnosis of diabetes with urinary tract infection. Give tolbutamide 1.0g 3 times a day, hypoglycemic 2.5mg 3 times a day, spiramycin 0.2g day 4 times orally; condition improved, blood sugar 11.2mmol / L. Suddenly aphasia appeared at 5:00 on November 26, physical examination: T36.7 ℃, P84 beats / min, R20 beats / min, BP16 / 11KPa, conscious, was completely motor aphasia, neck soft, nasolabial folds Shallow, normal muscular strength of limbs, bilateral knee tendon reflexes exist, bilateral Babinski’s syndrome was not induced