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患者男,20岁,战士。因发作性头晕,昏厥半年于1982年10月21日就诊。病者6个月前开始感觉头晕,活动后加重。曾3次昏倒,数分钟后清醒。于9月28日晨跑步时又突然昏倒,约30分钟后被唤醒。当时脉搏、血压正常,心肺听诊阴性,未行特殊检查和处理。以后昏迷发作渐频而加剧,10月21日上早操时昏倒约40分钟送来门诊。体检:心率112次/分,血压110/68mmHg,神志不清,面色苍白,出冷汗,测定空腹血糖25mg％。静脉注射50％葡萄糖100ml后症状消失。留院复查空腹血糖3次,每周1次,分别为23mg％、30mg％、36mg％。口服葡萄糖试验半小时后血糖升至46mg％,1小时后降至33mg％。乃于11月18日转往某驻军医院,住院后反复测定血糖均在40mg％以下。3周后剖腹探查,胰尾部发现直径0.5
Patient male, 20 years old, warrior. Due to the onset of dizziness, fainting six months in October 21, 1982 treatment. The patient began to feel dizzy 6 months ago, aggravating after the activity. Had fainted 3 times, awake after a few minutes. Suddenly fainted when running on the morning of September 28 and was awakened after about 30 minutes. At that time, pulse, normal blood pressure, cardiopulmonary auscultation negative, without special inspection and treatment. After the onset of coma episodes and aggravate, October 21 morning when fainting about 40 minutes sent to the clinic. Physical examination: heart rate 112 beats / min, blood pressure 110 / 68mmHg, confusion, pale, sweat, determination of fasting blood glucose 25mg%. After intravenous injection of 50% glucose 100ml symptoms disappear. Retreatment in fasting blood glucose 3 times a week, respectively, 23mg%, 30mg%, 36mg%. Half an hour after oral glucose test blood glucose rose to 46mg%, 1 hour to 33mg%. It was transferred to a garrison hospital on November 18, and the blood glucose after repeated inpatients was below 40mg%. After 3 weeks of laparotomy, the diameter of pancreatic tail was found to be 0.5