现将我院2005年12月至2011年1月在急诊内科收治的28例以脑功能障碍为主要临床表现的发作性低血糖,总结分析如下。1临床资料1.1一般资料本组28例,男17例,女11例。年龄81~57岁,平均68岁。既往22例确诊为2型糖尿病,余6例住院患者查糖耐量试验和血胰岛素激发试验确诊为2型糖尿病。1.2临床表现患者入院时头痛、头晕、反应迟钝、视物不清、步态不稳、幻觉、躁动,不同程度昏迷。查体单肢体瘫痪, Now in our hospital from December 2005 to January 2011 admitted to the Department of Emergency Medicine 28 cases of brain dysfunction as the main clinical manifestations of hypoglycemia, summarized as follows. 1 Clinical data 1.1 General Information The group of 28 patients, 17 males and 11 females. Age 81 ~ 57 years old, average 68 years old. In the past 22 cases were diagnosed with type 2 diabetes mellitus, more than 6 inpatients were diagnosed with type 2 diabetes mellitus by tracing glucose tolerance test and insulin stimulating test. 1.2 Clinical manifestations of patients admitted to hospital headache, dizziness, unresponsive, blurred vision, unsteady gait, hallucinations, restlessness, varying degrees of coma. Physical examination of single limb paralysis,