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低血糖脑病50例临床分析 被引量:4

Clinical analysis of 50 patients with hypoglycemic encephalopathy
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摘要 目的总结本院收治低血糖脑病患者的诊治经验。方法回顾性分析50例低血糖脑病的临床资料。结果 50例患者37例首诊即诊断低血糖脑病,13例误诊为脑血管意外,但最终均确诊为低血糖脑病,经抢救49例治愈,1例死亡。结论低血糖脑病是是临床常见急症之一,所有昏迷或其他脑功能障碍表现的患者均需行末梢血糖检测,以提高急救水平,避免误诊误治,对于糖尿病患者,尤其老年人,需加强饮食及用药指导,强化血糖监控,防治严重低血糖引起不可逆的脑损害。 Objective To sum up the experience in diagnosis and treatment of hypoglycemic encephalopathy. Methods Clinical data of 50 cases of hypoglycemia encephalopathy were retrospectively analyzed. Results In the 50 patients, 37 cases were diagnosed as hypoglycemic encephalopathy in the first diagnosis. 13 cases were misdiagnosed as cerebrovascular accident, but were uhimately diagnosed as hypoglycemic encephalopathy. 49 cases were cured after rescue and one case died. Conclu- sion Hypoglycemia is a common clinical acute emergency. All patients with unconsciousness or other manifested brain dys- function were required to undergo peripheral blood glucose detection to avoid misdiagnosis and mistreatment. We must further emphasize the guide for diet and medication, and employ intensive glycemic control for patients with diabetes mellitus, especial- ly for older people, to prevent irreversible brain damage caused by severe hypoglycemia.
作者 黄霞
出处 《淮海医药》 CAS 2013年第3期216-217,共2页 Journal of Huaihai Medicine
关键词 低血糖脑病 诊断 治疗 Hypoglycemia Diagnosis Treatment
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