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胰岛细胞增生症临床上比较少见,仅占胰岛细胞分泌瘤的8％。1981年前国外报导仅8例,本病对病人危害严重,若能早期诊断治疗,预后大多良好。我院曾收治一例,报告如下: 患者,男性、31岁、住院号64975,以发作性昏睡六年于1974年2月11日入院。六年前患者开始间断性晨间昏睡,醒后无力,头昏、心慌、心悸、胸闷,四肢发抖,并有复视,以后逐渐加重。发作时多在早晨6—7点,需服糖水半小时后,才能清醒,偶於下午饥饿时亦可发作。初起每日发作一次,以后一月发作数次,门诊血糖为50mg/dl。
Islet cell hyperplasia is rare in clinical practice, accounting for only 8% of islet cells secreting tumors. Only 8 cases were reported abroad before 1981. This disease has serious harm to patients. If early diagnosis and treatment are available, the prognosis is mostly good. In our hospital, a case was reported and the report was as follows: The patient, male, 31 years old, hospital number 64975, admitted to hospital on February 11, 1974 with paroxysmal sleep for six years. Six years ago, the patient began an intermittent morning drowsiness, weakness after awakening, dizziness, palpitation, palpitations, chest tightness, trembling extremities, and diplopia, which gradually worsened. The onset is mostly at 6-7 in the morning, and it takes only half an hour after taking sugar water to wake up. Even in the afternoon when hunger strikes. The first episode started once a day and several times in the following January. The outpatient blood glucose was 50 mg/dl.