作者报告1例73岁男性因慢性阻塞性肺病住院,在第3天上午突然神志丧失伴惊厥。血糖1.6mmol/L,注射葡萄糖后立即清醒。4天以后在上午11时患者血糖2.3mmol/L。入院时查血糖8.3mmol/L,除慢性阻塞性肺病体征外,其余体检和常规实验室检查结果正常。为检查低血糖的病因,采取72小时禁食。在早餐后1.5小时血糖为10.2mmol/L,3.5小时为2.0mmol/L,4.5小时为1.7mmol/L。此时患者出汗,语言迟钝。禁食停止。用双抗体放射免疫法测得血 The authors report a 73-year-old man hospitalized for chronic obstructive pulmonary disease and sudden delirium and convulsion on the morning of the third day. Blood glucose 1.6mmol / L, awake immediately after injection of glucose. After 4 days at 11 am the patient’s blood glucose was 2.3 mmol / L. Blood glucose was admitted at admission 8.3mmol / L, except for signs of chronic obstructive pulmonary disease, the remaining physical examination and routine laboratory tests were normal. To check the cause of hypoglycemia, take a 72-hour fasting. Blood glucose was 10.2 mmol / L 1.5 hours after breakfast, 2.0 mmol / L in 3.5 hours, and 1.7 mmol / L in 4.5 hours. At this point the patient sweats, the language is slow. Fasting stops. Blood was measured by double antibody radioimmunoassay