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我院普外科自1965年5月至1996年7月收治并经手术和病理证实胰岛素瘤11例(含1例胰岛素癌),其中8例于近10年收治,现报道如下。 临床资料 1.一般资料 男5例,女6例。年龄17～54岁,平均31.1岁。起病至确珍时间2月～4年,平均20个月。 2.诊断情况 患者均有典型的Whipple三联征,发作时血糖值为0.2mmol/L～2.5mmol/L(3.4mg/dl～42.5mg/dl),其中7例同时检测胰岛素水平,仅1例<5μU/ml(其血糖值为0.6mmol/L),另6例在120～25μU/ml,免疫反应性胰岛素/葡萄糖(IRI/G)均>0.3(6.56～0.463)。
Our general surgery in our hospital from May 1965 to July 1996 and confirmed by surgery and pathology 11 cases of insulinoma (including 1 case of insulin cancer), of which 8 cases were treated in the past 10 years, are reported below. Clinical data 1. General information 5 males and 6 females. Age 17 to 54 years old, average 31.1 years old. Onset to definitive time from February to 4 years, an average of 20 months. 2. The diagnosis of patients have a typical Whipple triad, attack blood glucose values of 0.2mmol/L ~ 2.5mmol/L (3.4mg/dl ~ 42.5mg/dl), of which 7 cases of simultaneous detection of insulin levels, only 1 case <5 μU/ml (its blood glucose level was 0.6 mmol/L), the other 6 cases were at 120 to 25 μU/ml, and the immunoreactive insulin/glucose (IRI/G) was >0.3 (6.56 to 0.463).