论文部分内容阅读
优降糖作为第二代SU已广泛应用于临床,使用不当可致严重低血糖反应,抢救不及时可造成脑不可逆损失。现将我院4例报告如下: 临床资料例1:男性,65岁。昏迷四小时。有糖尿病史。服优降糖2.5mg/次,降糖灵25mg/次,日三次,三日前验血糖9.72mmol/L后,自服优降糖5mg/次。三天后出现头晕,心慌出冷汗,呼之不应入院。血压25/13kPa。昏迷,无神经系统定位征血糖1.33mmol/L,尿蛋白(++)。给50％葡萄糖100ml后清腥,用5％葡萄糖维持12小时,血糖
As a second generation of oral hypoglycemic SU has been widely used in clinical improper use can cause severe hypoglycemia, salvage may not cause irreversible brain damage. Now report 4 cases in our hospital as follows: Clinical data Example 1: Male, 65 years old. Coma for four hours. Have a history of diabetes. Meridian hypoglycemic 2.5mg / times, hypoglycemic 25mg / times, three times a day, three days before the blood sugar 9.72mmol / L, self-serving glyburide 5mg / times. Dizziness after three days, palpitation cold sweat, call should not be admitted. Blood pressure 25 / 13kPa. Coma, no neurological localization of blood glucose 1.33mmol / L, urinary protein (++). Give 50% glucose 100ml clear fishy, with 5% glucose for 12 hours, blood sugar