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1临床资料患者,男性,30岁。因“反复晕厥1年”入院。1年前患者于饥饿时出现心悸、大汗、四肢无力,严重时出现手足抽搐,意识障碍,无双目凝视,无口吐白沫及大小便失禁,多发生于餐后3~4 h。当地医院多次监测血糖均在2.1 mmol/L左右,最低值为1.7 mmol/L,上述低血糖症状在进食或口服葡萄糖可缓解,行胸片、B超、CT及脑电图等检查,均未发现异常。为求进一步诊治,患者于2010年11月2日到我院内分泌科住院治疗。患者自
1 clinical data patients, men, 30 years old. Because “Syncope 1 year ” admission. 1 year ago, patients with heart palpitations when hungry, sweating, limb weakness, severe hand-foot convulsions, disturbance of consciousness, no binocular stare, no spit foam and incontinence occurred in postprandial 3 ~ 4 h. The local hospital repeatedly monitored blood glucose at 2.1 mmol / L or so, the minimum value of 1.7 mmol / L, the symptoms of hypoglycemia in eating or oral glucose can be alleviated, chest X-ray, B ultrasound, CT and EEG and other tests were No abnormalities found. For further diagnosis and treatment, patients in November 2, 2010 to our hospital endocrine department inpatient treatment. Patient from