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患者,女,48岁。明显消瘦乏力,心悸,一年余。化验:血糖9.5 mmol/L,当地医院诊断:糖尿病。入院前1天始服优降糖2.5mg/次,心得安10mg/次,3次/d。次日晨服优降糖5 mg,心得安10mg,下午2点突然头晕,意识丧失。查体:血压12/7 kPa,神志不清,瞳孔等大,光反应佳,颈软,心肺未见明显异常,右侧上、下肢肌张力及反射均比左侧低,两侧巴氏征(±)化验:血糖2.5
Patient, female, 48 years old. Significant weight loss, palpitations, more than a year. Laboratory tests: blood glucose 9.5 mmol / L, local hospital diagnosis: diabetes. One day before admission, taking hypoglycemic 2.5mg / times, the experience of safety 10mg / time, 3 times / d. The next morning morning service hypoglycemic 5 mg, the experience of 10mg, 2:00 suddenly dizzy, loss of consciousness. Physical examination: blood pressure 12/7 kPa, confusion, pupils and other large, good light response, neck soft, no significant abnormal heart and lung, right lower extremity muscle tone and reflex are lower than the left, both sides of the Pakistan’s sign (±) Assay: Blood glucose 2.5