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目的探讨低血糖昏迷伴癫痫样发作的临床表现及主要特点,以减少低血糖昏迷的误诊率及提高治愈率。方法对30例表现为癫痫发作的低血糖昏迷患者的临床资料进行回顾性分析。结果 30例病人集中在老年人,入院初查血糖都偏低,在1.7~2.6mmol/L之间,癫痫发作形式多种多样,脑电地形图均有异常。入院后均行头颅CT/或MRI检查未发现梗死灶和出血灶。所有患者给予静推50%葡萄糖治疗后均能改善症状和终止癫痫发作。结论对于突然抽搐、昏迷的患者,应该追问糖尿病病史并常规急查血糖,以排除低血糖昏迷伴癫痫样发作,及早作出正确的诊疗措施。
Objective To investigate the clinical manifestations and main characteristics of hypoglycemic coma with epilepsy and reduce the misdiagnosis rate and cure rate of hypoglycemic coma. Methods The clinical data of 30 hypoglycemic coma patients with seizures were retrospectively analyzed. Results 30 patients were concentrated in the elderly, admission to check blood sugar are low, between 1.7 ~ 2.6mmol / L, a variety of forms of seizures, EEG are abnormal. All patients underwent CT or MRI examination after admission, no infarction and hemorrhage were found. All patients treated with static push 50% glucose treatment can improve the symptoms and termination of seizures. Conclusions Patients with sudden convulsions and coma should be asked about the history of diabetes mellitus and routinely check their blood sugar to rule out hypoglycemic coma and epileptic seizures, so as to make correct diagnosis and treatment as soon as possible.