胰岛素并用优降糖所致低血糖昏迷,临床很少见,现将我院收治一例报道如下.患者,女,28岁,于82年2月15日因抽搐、昏迷11小时而来本院急诊.患者四年前出现多食、多饮、多尿、乏力等症状.尿糖(++++),血糖600mg%,诊断为糖尿病.用口服降糖药好转.82年初,尿糖(+++),血糖260mg%,住某公社医院用胰岛素20u皮下注射,一天两次;合并口服优降糖、降糖灵各一片,一天两次.用药第五天的晚上突然出现心慌、大汗、抽搐一次,继则昏迷,大小便失禁.来本院急诊.检查:T36℃,P82次,R24次,血压120/80.发育正常,营养中等,神志不清,呼吸急促.角膜反射消失,瞳孔等 Insulin and hypoglycemic hypoglycemic coma, clinically rare, now a case of hospital admitted to us. The patient, female, 28 years old, on February 15, 82 due to convulsions, coma 11 hours from our hospital emergency room Four years ago, the patient developed symptoms of eating more, drinking more, having more urine and fatigue, urinary sugar (++++) and blood sugar 600mg% ++), blood glucose 260mg%, a commune hospital with insulin 20u subcutaneous injection, twice a day; combined with oral administration of hypoglycemic, hypoglycemic one each, twice a day on the fifth day of medication sudden palpitation, sweating, convulsions Once, then the coma, incontinence. To hospital emergency. Check: T36 ℃, P82 times, R24 times, blood pressure 120/80. Normal development, moderate nutrition, confusion, shortness of breath. Corneal reflex disappeared, pupils