摘要
Abstract
Objective To explore the clinical characteristics,causes of misdiagnosis,and preventive measures of drug-induced hypoglycemia in the elderly.Methods A retrospective analysis was conducted on 11 misdiagnosed cases of drug-induced hypoglycemia in the elderly admitted from January 2020 to March 2022.Results Patients in this study were aged 60-74 years.The course of diabetes in this group ranged from 2 to 18 years.There were 7 patients with a history of hy-pertension,2 patients with a history of cerebral infarction and 2 patients with a history of coronary heart disease(CHD).Sev-en patients presented with varying degrees of consciousness disturbance,and unilateral limb dysfunction.Two patients were found to have old cerebral infarction by CT examination,and were initially diagnosed as acute cerebrovascular accident.Four patients presented with palpitation,chest tightness,fatigue,and hyperhidrosis,and one patient was accompanied by precardi-ac pain.ECG examination showed ST segment depression and atrioventricular block of degree Ⅰ-Ⅱ,and the preliminary di-agnosis of CHD was made.The misdiagnosis lasted 2-4 h.After comprehensive analysis of medical history and blood glucose test results,all 11 cases were diagnosed as drug-induced hypoglycemia,and the symptoms gradually alleviated and disap-peared after treatment with glucose injection,and no recurrence was observed at 2-month follow-up.Conclusion In the eld-erly patients with drug-induced hypoglycemia,the symptoms of sympathetic nervous system excitation are mild,and they are easily misdiagnosed as cardiocerebral vascular disease.Improving the attention of attending doctors in grassroots hospitals to drug-induced hypoglycemia,and carefully inquiring about past history of hypoglycemic drug use,daily blood sugar control,and diet before onset,as well as early blood sugar testing,can help avoid misdiagnosis of drug-induced hypoglycemia.关键词
低血糖症/药物/老年人/糖尿病,2型/误诊/脑血管意外/冠心病/血糖Key words
Hypoglycemia/Drug/Elderly/Diabetes mellitus,type 2/Misdiagnosis/Cerebrovascular accident/Cor-onary heart disease/Blood sugar分类
临床医学
