临床误诊误治2017，Vol.30Issue(1)：38-41,4.DOI:10.3969/j.issn.1002-3429.2017.01.013
从三例胰岛素瘤诊治经过浅析急诊低血糖的病因鉴别诊断
Differential Diagnosis of Disease Causation of Hypoglycemia on the Basis of Diagnosis and Treatment for 3 Insulino-ma Patients in Emergency Department
刘姗姗 1闫志峰 1张嘉芳 1宋菲 1林芳玉 1张慧 1闫鸿1
作者信息
- 1. 110003 沈阳，解放军202 医院急诊科
- 折叠
摘要
Abstract
Objective To investigate clinical characteristics of insulinoma and key points of differential diagnosis of disease causation of hypoglycemia insulinoma in order to reduce misdiagnosed rate. Methods Clinical data of 3 insulinoma patients was retrospectively analyzed. Results One patient was admitted for sudden disturbance of consciousness;the second patient was admitted for recurrent attacks of hypoglycemia for more than 1 year,and reappearance of disturbance of conscious-ness for 1 h;the third patient was admitted for episodes of palpitation,sweating and limbs quiver for more than 1 year repeat-edly,and reappearance for 10 min. Immediate value of blood glucose was 0. 9-2. 0 mmol/L after admission,and the first diag-nosis in emergency department was hypoglycemia. The value of serum glucose of the first patient was still low after active treat-ment,and the insulinoma history was obtained from the family;the second patient had the insulinoma history by asking;value of serum glucose of the third patient returned to normal after carbohydrate supplement treatment,and insulinoma was confirmed after performing related examinations. The first one died of stubborn hypoglycemia and giving up treatment by family;the other 2 patients were turned to the superior hospitals for surgery. Conclusion Hypoglycemia is mainly cause inducing diabetes, but uncommon cause such as insulinoma can not be overlooked. Clinicians should not only supply active treatment,but also find the primary cause of hypoglycemia for patients with hypoglycemia in emergency department.关键词
胰岛素瘤/急诊室,医院/误诊/低血糖症Key words
Insulinoma/Emergency service,hospital/Misdiagnosis/Hypoglycemia分类
医药卫生引用本文复制引用
刘姗姗,闫志峰,张嘉芳,宋菲,林芳玉,张慧,闫鸿..从三例胰岛素瘤诊治经过浅析急诊低血糖的病因鉴别诊断[J].临床误诊误治,2017,30(1):38-41,4.
