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现将我们经手术证实的一例不典型胰岛β细胞瘤的诊治体会报告如下,以供参考。您者李××,女,30岁,于84年在生气或劳累时常突然意识不清,呼唤及针刺仍不醒,2～3h之后能自醒,醒后无其它不适,85年以后发作减少。86年12月28日因受凉头昏,鼻塞,一天后突然尖叫,双手抱头,两眼向上凝视、痴呆、呻吟,双下肢舞动,大小便失禁一次。经补糖及针刺等处理一天后渐清醒,但反应迟钝,不能坐起与行走。之后均在早晨6～7时许尖叫,精神萎糜,昏睡,继之补糖后3～3h后好转。当地医院查脑脊液;无色透明,蛋白定性(-),细胞2/mm~3,氯化物660mg/dl,糖10mq/dl,诊断为病毒性脑炎?87年1月9日转入院。既往健康无烟酒嗜好。
Now we confirmed by an operation of atypical pancreatic islet cell tumor diagnosis and treatment are reported as follows, for reference. You × ×, female, 30 years old, in 84 years often angry or tired suddenly unconscious, call and acupuncture is still awake, wake up after 2 ~ 3h, no other discomfort after wake up, attack reduced after 85 years . December 28, 86 due to cold dizziness, stuffy nose, suddenly screaming after a day, both hands holding his head, his eyes staring up, dementia, moaning, dancing lower extremities, incontinence time. After a day of replenishment of sugar and acupuncture and other treatment gradually awake, but unresponsive, can not sit up and walk. After all, screaming in the morning 6 ~ 7 o’clock, spiritual wilt Mi, lethargy, followed by supplementation 3 ~ 3h after the turn of improvement. Local hospital check cerebrospinal fluid; colorless, transparent, qualitative protein (-), cells 2 / mm ~ 3, chloride 660mg / dl, sugar 10mq / dl, diagnosed as viral encephalitis? January 9, Past health non-smoking alcohol hobby.