论文部分内容阅读
第一次查房:(5月16日) 主任医师:请住院医师报告病例。住院医师:患者,男,42岁。因反复发作性心慌、头晕、昏迷,癫痫和精神症状3年余于1985年5月10日入院。3年前一日因未进早餐工作至近中午时感心慌、头晕、头痛、软弱无力,多汗、饥饿感,进餐后缓解,以往无此现象。此后每当延误进餐时症状复现。多在午餐前发作,下午也有之,严重时神志不清,而有时表现为胡言乱语、哭笑无常等精神症状。曾有2次为突然跌倒,口吐白沫,牙关紧闭,四肢抽搐症状,发作时可因进食,喝糖水或自行缓解,但昏迷时须滴注葡萄糖方可苏醒,间歇期如
First rounds: (May 16) chief physician: Please report the case of residents. Resident: Patient, male, 42 years old. Due to recurrent palpitation, dizziness, coma, epilepsy and mental symptoms more than 3 years in May 10, 1985 admission. 3 years ago on the 1st due to not working breakfast until nearly noon when panicked, dizzy, headache, weakness, hyperhidrosis, hunger, ease after eating, in the past no such phenomenon. Symptoms recur later whenever meals are delayed. Occurred more in the afternoon before lunch, but also in the afternoon, severe unconsciousness, and sometimes manifested as nonsense, dumbfounding and other mental symptoms. There have been 2 times for a sudden fall, foaming at the mouth, closed tuck, limb twitching symptoms may be due to eating, drinking syrup or self-relief, but when the coma glucose instillation before awakening, intermittent period