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目的探讨老年糖尿病低血糖症的临床特点及防治。方法通过回顾性分析老年糖尿病患者发生低血糖症的临床表现,并对其原因进行分析,提出防治对策。结果 40例中37例得到及时治疗病情好转,1例遗留轻度痴呆,1例因同时患有大面积脑梗死,经积极抢救无效死亡。1例合并糖尿病肾病、心力衷竭死亡。结论老年糖尿病患者低血糖症临床表现多样,易误诊而延误抢救时机,造成大脑不可逆性损害,甚至危及生命,所以临床医生应提高对低血糖症认识。
Objective To investigate the clinical features and prevention and treatment of senile diabetic hypoglycemia. Methods The clinical manifestations of hypoglycemia in elderly patients with diabetes mellitus were retrospectively analyzed, and the causes were analyzed, and the prevention and treatment measures were put forward. Results Of the 40 cases, 37 cases were treated in time and their condition improved. One case had mild dementia, and one case died of massive cerebral infarction after active rescue. 1 case of diabetic nephropathy, hardworking death. Conclusion The clinical manifestations of hypoglycemia in elderly diabetic patients are diverse and prone to misdiagnosis and delay the rescue opportunity, causing irreversible brain damage and even life-threatening. Therefore, clinicians should raise their awareness of hypoglycemia.