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男性,30岁。因间断性意识不清2年入院。初次发作为晨起昏迷伴冷汗和抽搐,醒后对往事不能回忆。第一年共发作2次,每次约持续10小时,近一年发作频繁,4～5次/月。劳累等为诱发因素。静脉注葡萄糖可迅速缓解,口服糖水也可缓解发作。曾诊为精神分裂症,经治疗不好转,以低血糖原因待查收入我院。糖耐量试验(OGTT)结果示:曲线低平,但无明显高峰后移,180分后恢复至试验前水平。胰岛素释放试验结果示:曲线高峰在试验后30分,以后渐之下降,180分时恢复至试验
Male, 30 years old. Discontinued for 2 years because of intermittent consciousness. The first time I started as a morning coma with cold sweat and convulsions, I couldn’t remember the past after I woke up. In the first year, there were two episodes, each lasting about 10 hours, and the episodes were frequent in the past year, 4 to 5 times per month. Tiredness is the precipitating factor. Intravenous glucose can be quickly relieved, and oral sugar water can also ease the attack. After having been diagnosed as schizophrenia, he couldn’t be treated properly and could be investigated for income from hypoglycemia. The results of the glucose tolerance test (OGTT) showed that the curve was flat, but there was no obvious peak shift. After 180 minutes, it returned to the pre-test level. Insulin release test results show that the peak of the curve is 30 minutes after the test, and then it gradually decreases, and it returns to the test at 180 minutes.