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对13例糖尿病单纯高血糖抽搐患者临床资料进行回顾性分析并结合文献进行讨论。结果:该病好发于老年人,11例糖尿病者在血糖控制不理想状态下发生抽搐,2例以抽搐作为糖尿病的首发症状。应用胰岛素积极控制血糖是主要治疗措施。结论:抽搐发作与血糖升高密切相关,在诊治抽搐时要想到高血糖;尤其老年人出现局限性发作,应考虑本病可能。
The clinical data of 13 patients with simple hyperglycemic tics of diabetes mellitus were retrospectively analyzed and discussed in the literature. Results: The disease occurred in the elderly. Eleven patients with diabetes developed convulsions under the condition of poor blood glucose control. Two patients had convulsions as the first symptom of diabetes. Active insulin control of blood glucose is the main treatment. Conclusion: The onset of seizures is closely related to the rise of blood sugar, and hyperglycemia should be considered in the diagnosis and treatment of convulsions. In particular, the elderly may experience limited onset and the possibility of this disease should be considered.