论文部分内容阅读
消化道内分泌肿瘤病灶大多位于胰腺,最常见的是功能性胰岛素瘤。典型的胰岛素瘤诊断并不困难,但由于低血糖反应的个体差异以及部分病人可伴随有其他疾病,临床表现变异很大,这类病人的早期诊断甚为困难。上海瑞金(原广慈)医院自1970年1月至1986年7月间经手术、病理证实的胰岛素瘤30例,其中以精神异常为起病特征并接受相应药物治疗的13例,占43.3%。本文分析这些病人的误诊原因,进一步总结和提高临床诊断水平。
Most of the gastrointestinal endocrine tumors are located in the pancreas, and the most common is functional insulinoma. The diagnosis of typical insulinomas is not difficult, but because of the individual differences in hypoglycemic reactions and some patients may be accompanied by other diseases, the clinical manifestations are very variable, and early diagnosis of these patients is very difficult. There were 30 cases of insulinoma confirmed by operation and pathology from January 1970 to July 1986 in Shanghai Ruijin Hospital (former Guangci Hospital), of which 13 cases were characterized by psychiatric abnormalities as the onset and received corresponding medications, accounting for 43.3%. . This article analyzes the causes of misdiagnosis of these patients and further summarizes and improves the clinical diagnosis.