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1病例介绍患者女,66岁。2003年2月于外院行胸部X线检查发现右纵隔小包块,无发热、呼吸困难等不适,未予以特殊处理;既往慢性支气管炎、脑梗死病史,无糖尿病病史及家族史。2006年5月开始反复发作低血糖,夜间为主,表现为大汗、眼花、头晕、神志不清,进食后缓解,于外院行胸部CT发现右纵隔占位较前增大,行胸腔镜纵隔肿瘤切除术,术后未再发作低血糖。2010年6月患者再次发作低血糖并反复出
1 case description Female patient, 66 years old. February 2003 in the Department of Thoracic X-ray examination found that the right mediastinal mass, no fever, dyspnea and other discomfort, no special treatment; previous chronic bronchitis, cerebral infarction history, no history of diabetes and family history. May 2006 repeated episodes of hypoglycemia, mainly at night, manifested as sweating, vertigo, dizziness, delirium, ease after eating, the Department of Thoracic CT found that the right mediastinum increased compared with the previous, the thoracoscopic mediastinum Tumor resection, no recurrence of postoperative hypoglycemia. In June 2010, the patient again developed hypoglycaemia and repeated