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男,71岁,因反复咳嗽、咳痰20多年于1988年4月1日入院。患者既往有“糖尿病”病史11年。入院后查空腹血糖10.36mmol/L,诊断:1.慢性支气管炎并肺部感染;2.糖尿病。给予糖尿病饮食、口服消渴丸5粒,每日3次并抗感染治疗。2周后空腹血糖下降为4.68mmol/L,即将消渴丸改为每次5粒,早晚各一次,在此以后的4个星期,患者血糖波动在3.92～7.34mmol/L之间。在患者入院后第42天晚上8点突然出现大汗、倦怠无力、脸色苍白、双上肢震颤,急查血糖1.57mmol/L。即停用消渴丸,静注50%
Male, aged 71, was admitted to hospital on April 1, 1988 due to repeated cough and expectoration for more than 20 years. The patient had a history of “diabetes” for 11 years. Fasting blood glucose after admission 10.36mmol / L, diagnosis: 1. Chronic bronchitis and pulmonary infection; 2. Diabetes. Give diabetic diet, oral Xiaoke Pill 5, 3 times a day and anti-infective treatment. After 2 weeks, the fasting blood glucose dropped to 4.68mmol / L, the diabetes reducing pills would be changed to 5 tablets each time sooner or later. In the following 4 weeks, the blood glucose level fluctuated between 3.92 and 7.34mmol / L. On the 42nd day after admission, the patient suddenly showed hyperhidrosis, weakness, pale face, tremor of the upper extremities, and anxious to check the blood sugar 1.57mmol / L. That is to disable Xiaoke pills, intravenous 50%