胰岛素瘤罕见,1902年Nicholls在尸检中偶而发现胰岛细胞瘤。1924年Aarris报告由于胰岛细胞分泌过多胰岛素所产生的低血糖症侯群,1929年Graham首次报告用外科手术切除成功。载至1958年国外文献已报告766例1,国内至1976年已报告34例。我院于1972年收治一例,经病理证实并随防八年迄未复发。 病例报告 患者男性、51岁,回族,甘肃临夏县人。因不省人事约30小时,于1972年元月6日,以“精神异常”收住内科。住院前两年来经常在清晨或饭前发生人事不省,每隔数天发作,有时伴有四肢抽搐,不吐白沫,不咬舌头。发作症状持续4—24小时不等。犯病后喊之不醒,不吃不喝,大小便失禁。上述症状静卧休息后自行缓解。醒后主诉头晕、手麻,饮食如常。未曾求治。入院前一天清晨又突然不省人事,持续30余小时不醒,急诊入 Insulinomas are rare, and in 1902 Nicholls occasionally found islet cell tumors at autopsy. In 1924, Aarris reported that for the first time in 1929 Graham reported the successful surgical removal of hypoglycemia caused by insulin secretion from islet cells. From 1958 to 1958, 766 cases have been reported in foreign literature. From home to 1976, 34 cases have been reported. Our hospital was admitted to a hospital in 1972. It has been confirmed by pathology and has not relapsed after eight years of prevention. Case Report Patients Male, 51 years old, Hui, Linxia County, Gansu. Due to unconsciousness for about 30 hours, on January 6th, 1972, he was admitted to the department of “psychiatric abnormalities”. In the two years prior to hospitalization, people often appear unconsciously in the early morning or before the meal. Every few days, there are episodes, sometimes accompanied by limb twitching, no foaming, and no biting of the tongue. Onset symptoms last for 4-24 hours. After dying, I would not wake up, eat or drink, and incontinence. The above symptoms calmed down and rested on their own. After waking up, he complained of dizziness, hand numbness, and diet as usual. Did not seek treatment. One day before admission, she was suddenly unconscious and continued for more than 30 hours.