病例介绍患者男78岁主诉:“头晕伴乏力一天”就诊。患者无明显诱因下感头晕伴乏力一天,至外院查头颅CT提示有腔隙性脑梗塞,来社区卫生服务中心要求补液改善脑循环治疗,门诊处给予血塞通+生理盐水补液,补液过程中患者头晕加重伴有精神烦躁明显,未伴有明显心慌、冷汗。追问病史患者有糖尿病史20年,近日因家庭矛盾进食有减少,急测指尖毛细血糖2.3mmol/L,诊断为低血 Case description Male 78-year-old chief complaint: “Dizziness with fatigue day ” treatment. Patients with no obvious incentive to feel dizzy with fatigue one day, to the outer hospital to check the cranial CT prompted lacunar infarction, to community health service centers require rehydration to improve cerebral circulation treatment, out-patient department to give Xuesaitong + saline rehydration, rehydration process Patients with aggravated dizziness aggravate the obvious, without obvious palpitation, cold sweat. History of patients with history of diabetes mellitus history of 20 years, recently due to family conflicts eat less urgent test fingertip capillary glucose 2.3mmol / L, diagnosed as low blood