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目的探讨老年糖尿病低血糖症的临床诊治。方法分析50例患者的临床资料。结果 50例中,48例经治疗后急性低血糖反应症状缓解、血糖恢复;1例昏迷>4h,于治疗12～48h后清醒,1例留有轻度痴呆。结论老年糖尿病患者应加强糖尿病教育和自我监测,防止意外的发生;临床医师应提高对老年糖尿病低血糖症的认识和警惕,做到及早发现,及早治疗,避免留下后遗症。
Objective To investigate the clinical diagnosis and treatment of senile diabetic hypoglycemia. Methods Clinical data of 50 patients were analyzed. Results Among the 50 cases, 48 cases were relieved of acute hypoglycemic symptoms and recovered their blood glucose after treatment. One case coma> 4 hours, awakened after 12 ~ 48 hours and mild dementia in one case. Conclusion Elderly patients with diabetes mellitus should strengthen diabetes education and self-monitoring to prevent accidents; clinicians should raise their awareness and vigilance on the elderly with diabetic hypoglycemia so that early detection and early treatment can be avoided to avoid sequelae.