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胃切除后的低血糖是一个公认的现象,一般说来不会造成严重的发作性的或进行性的神经精神方面的失调.大多数内外科文献均未说明胃切除后与神经或精神失常有何联系.最近作者研究了两例胃部分切除后,首先见到的器质性脑病.葡萄糖耐量试验表现为消化性低血糖,其病的进程亦说明低血糖与神经精神症状有关.例一;65岁男性,因四个月来有被害妄想与奇特的行为而住院.早在十年前因十二指肠溃疡穿孔行胃次全切除术及迷走神经切断术.以后几年经常有头痛、发作眩晕、共济失调与视力模糊,最后发展到有一过性的记忆丧失,阶段性的定向力障碍,威胁性的视听幻觉与被害妄想.患者无饮酒史及滥用药史.亦无头部外伤、高血压、心脏病及糖尿病史.
Hypoglycaemia after gastrectomy is a well-established phenomenon that generally does not cause serious episodes of episodic or progressive neuropsychiatric disorders.Most of the surgical literature does not describe any association between neurological or psychiatric disorders after gastrectomy The authors recently studied two cases of organic encephalopathy first seen after partial gastric resection glucose tolerance test showed digestive hypoglycemia, the disease process also shows hypoglycemia and neuropsychiatric symptoms related Example 1; A 65-year-old man hospitalized for four months with delusional delusions and peculiar behaviors As early as ten years ago, subtotal gastrectomy and vagotomy were performed for perforation of duodenal ulcers, with frequent headache and seizures Dizziness, ataxia and blurred vision, the final development of a transient loss of memory, phasic disorder, threatening audio-visual hallucinations and victimization of paranoia patients without history of alcohol abuse and history of drug abuse. There is no head trauma, Hypertension, heart disease and history of diabetes.