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目的:分析低血糖症神经系统表现临床特点及其机制,为低血糖症诊治提供临床依据。方法:收集2008年我院收治的以神经系统症状为主的低血糖症2型糖尿病(T2DM)患者30例,分析其病例资料特点。结果:17例(56.7%)患者表现为单纯性的运动性失语或睁眼、呼之不应的状态;19例(63%)发作时电解质为低血钾;糖化血红蛋白值均在正常范围内。纠正低血糖后,意识障碍者神志转清醒,神经系统体征消失,症状缓解。结论:低血糖症神经系统表现复杂多样,同时存在内环境紊乱及合并脑血管意外的可能,故需要认真鉴别,综合诊治。
Objective: To analyze the clinical features and mechanism of the neurological manifestations of hypoglycemia and provide a clinical basis for diagnosis and treatment of hypoglycemia. Methods: Thirty cases of type 2 diabetes mellitus (T2DM) with neurological symptoms in our hospital were collected in 2008, and the characteristics of case data were analyzed. Results: Seventeen patients (56.7%) showed simple motor aphasia or open eyes, which should not be exhausted. The electrolytes were hypokalemia in 19 patients (63%) and the values of HbA1c were within the normal range . After the correction of hypoglycemia, unconscious mind turn awake, nervous system signs disappear, symptoms ease. CONCLUSION: Hypoglycemic nervous system has complicated and diverse performance, with the possibility of internal environment disorders and cerebrovascular accidental complications. Therefore, careful identification and comprehensive diagnosis and treatment are needed.