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现就我科1997年1月~1998年11月间以脑卒中收住院的16例老年糖尿病低血糖患者进行回顾分析,报告如下。1 临床资料本组均为Ⅱ型糖尿病,男11例,女5例,年龄60岁~81岁,大于70岁9例,平均66岁。病程2月~25年,平均10年。合并糖尿病肾病4例,脑梗塞6例。高血压6例。诱发因素:16例中10例为食量明显减少而没有减少降糖药用量,3例为服用过量的降糖药或注射了过量的胰岛素,3例为没有按时进餐。发生低血糖时临床表现不一:出现嗜睡、意识
Now on our department from January 1997 to November 1998 stroke admitted to hospital in 16 cases of elderly diabetic hypoglycemia were analyzed retrospectively, the report is as follows. 1 clinical data of this group are type II diabetes, 11 males and 5 females, aged 60 years to 81 years old, more than 70 years in 9 cases, an average of 66 years old. Duration of 2 months to 25 years, an average of 10 years. 4 cases of diabetic nephropathy, 6 cases of cerebral infarction. Hypertension in 6 cases. Evoked factors: 10 of 16 patients had significantly reduced appetite without reducing the amount of hypoglycemic agents, 3 with overdose of hypoglycemic agents or with excess insulin, and 3 with no meal on time. Clinical manifestations of hypoglycemia occur: there drowsiness, awareness