至1978年7月我院共收治经手术或尸检证明的胰岛素瘤60例,另有6例临床诊断为胰岛素瘤,手术和术后未证实有肿瘤。本文根据这些病例的经验重点讨论胰岛素瘤的诊断和手术治疗问题。 (一)胰岛素瘤的诊断胰岛素瘤临床诊断依据是 1.凡在清晨、空腹或体力活动后间歇性发作神经精神症状的病人,均应考虑有胰岛素瘤的可能。本组病人的症状可归纳为四类:交感神经兴奋症状,意识障碍症状,精神异常症状,颞叶癫痫症状;其出现率分别为65％、78％、38％、65％。60 In July 1978, 60 cases of insulinomas proved by surgery or autopsy were treated in our hospital, and another 6 cases were diagnosed as insulinomas. No tumors were confirmed after surgery and postoperatively. This article focuses on the diagnosis and surgical treatment of insulinoma based on the experience of these cases. (I) Diagnosis of Insulinoma The clinical diagnosis of insulinoma is based on 1. Patients who have intermittent neurological symptoms after an early morning, fasting, or physical activity should consider the possibility of insulinoma. Symptoms of this group of patients can be grouped into four categories: symptoms of sympathetic activity, disturbance of consciousness, symptoms of psychiatric disorders, and symptoms of temporal lobe epilepsy; the occurrence rates were 65%, 78%, 38%, and 65%, respectively. 60