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老年糖尿病病人,尤其是70~80岁的老年患者对低血糖的反应很不典型,一般没有饥饿、出汗、心慌、无力、四肢发抖等综合症状,而是因个体差异和各脏器对低血糖的耐受力差及不敏感,而出现单一的症状或其他一些异常表现时,往往低血糖非常严重,尤其是脑缺氧加剧,因此常因被误诊而错失救治的良机。1.突然头晕,双下肢无力,抬不起腿;或双手无力,拿东西不稳;或全身无力,或突然晕倒、神志不清。上述症状常被误诊为脑卒中、冠心病、脑供血不足等,尤其是合并有高血压病的患者更容易被误诊。
Elderly patients with diabetes, especially 70 to 80-year-old elderly patients with hypoglycemia is not typical of the response, the general lack of hunger, sweating, palpitation, weakness, trembling and other symptoms, but because of individual differences and organs of low Poor blood glucose tolerance and insensitivity, and the emergence of a single symptom or other abnormalities, often low blood sugar is very serious, especially cerebral anoxia increased, so often misdiagnosed and missed the opportunity to save. Suddenly dizzy, weakness of both lower extremities, can not afford to lift the legs; or weak hands, take things unstable; or weakness, or suddenly fainted, unconscious. These symptoms are often misdiagnosed as stroke, coronary heart disease, cerebral insufficiency, etc., especially in patients with hypertension are more likely to be misdiagnosed.