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目的:探讨糖尿病低血糖症的临床特点、诱发因素及处理方法。方法:回顾性分析97例低血糖症患者的临床资料,其中,糖尿病低血糖症78例,其他原因低血糖19例。结果:97例低血糖症患者中,用药不当是主要原因,低血糖昏迷可被误诊为脑血管意外、癫痫等。经积极抢救治疗后,93例症状缓解,3例留有精神症状后遗症,1例死亡。其他原因低血糖中,胰岛素瘤占首位,其次为肝源性低血糖。结论:①糖尿病合理用药是减少糖尿病低血糖症的重要措施;②对于有意识障碍的急诊患者常规即刻查血糖和及时、合理应用葡萄糖治疗是减少诊治误差的重要环节;③非糖尿病合并低血糖者应积极寻找病因。
Objective: To investigate the clinical features, predisposing factors and treatment of diabetic hypoglycemia. Methods: The clinical data of 97 patients with hypoglycemia were retrospectively analyzed. Among them, 78 were hypoglycemia of diabetes and 19 were hypoglycemia for other reasons. Results: 97 cases of hypoglycemia patients, improper medication is the main reason, hypoglycemic coma can be misdiagnosed as cerebrovascular accident, epilepsy and so on. After active rescue treatment, 93 cases of remission, 3 cases of mental symptoms and 1 case of death. Other causes of hypoglycemia, insulinoma first, followed by liver-derived hypoglycemia. Conclusion: (1) The rational use of diabetes is an important measure to reduce the incidence of diabetic hypoglycemia; (2) For emergency patients with impaired consciousness routine routine check blood glucose and timely and rational use of glucose treatment is an important link to reduce the diagnosis and error; ③ non-diabetic patients with hypoglycemia should Actively looking for the cause.