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目的探讨老年2型糖尿病低血糖反应的病因、临床特征、处理方法及防治措施。方法回顾分析68例患者的临床资料。结果 1例合并肝恶性肿瘤、冠心病、心力衰竭、慢性肾功能不全死亡;其余患者均于2 d内血糖稳定,临床症状消失。结论老年糖尿病患者易出现低血糖,症状不典型,易造成漏诊、误诊,临床医生提高对老年糖尿病并发低血糖症的认识,早期发现、尽早治疗,以免造成不可逆性损害。
Objective To investigate the etiology, clinical features, treatment and prevention and treatment of hypoglycemic response to type 2 diabetes in the elderly. Methods The clinical data of 68 patients were retrospectively analyzed. Results One patient with malignant tumor of liver, coronary heart disease, heart failure and chronic renal insufficiency died. The other patients were stable in blood glucose within 2 days and their clinical symptoms disappeared. Conclusion Elderly patients with diabetes are prone to hypoglycemia, the symptoms are not typical, easy to cause missed diagnosis, misdiagnosis, clinicians to improve understanding of diabetes mellitus with senile diabetes mellitus, early detection, early treatment, so as to avoid irreversible damage.