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例1,女,38岁,农民,因慢性周期性上腹部疼痛5年,又发1月于1990年10月21日入院.体检:体温37℃,脉搏80次/分,呼吸18次/分,血压16.9/10.6KPa(130/80毫米汞柱).意识清,心肺无异常.上腹部偏右轻度压病.肝脾不扪及. 化验:血红蛋白120克/升,红细胞3.8×10~(12)/升、空腹血糖4.6/升,肝功能正常.纤维胃镜检众诊断:“十二指肠球部溃疡”给甲氰咪胍0.8克加10%葡萄糖500ml静脉滴注,在滴注完毕后约半小时、病人心慌乏力.饥饿感,出汗,昏倒.即查血糖2.6毫摩/升.给糖水饮用后症状消失.次日在滴完上液后约25分钟又开始心慌,饥饿感,乏力,立即推注50%葡萄糖60ml后症状缓解.以后用0.9%氯化钠滴注代替10%葡
Example 1, female, 38 years old, farmer, suffering from chronic upper abdominal pain for 5 years and admitted to hospital on January 21, 1990. Physical examination: body temperature 37 ° C, pulse 80 beats / min, respiration 18 beats / min , Blood pressure 16.9 / 10.6KPa (130/80 mmHg) .Awareness of consciousness, no abnormal heart and lung .Intermediate abdominal mild right mild pressure disease .Liver and spleen are not palpable.Check: hemoglobin 120 g / l, erythrocyte 3.8 × 10 ~ (12) / liter, fasting blood glucose 4.6 / liter, normal liver function. Fiber gastroscopy public diagnosis: “duodenal ulcer” to cimetidine 0.8 g plus 10% glucose 500ml intravenous drip, instillation About half an hour after the completion of the patient was flustered, hunger, sweating, fainting, that check the blood sugar 2.6 mmol / liter. After the symptoms disappeared to drink syrup. The next day after dripping finished about 25 minutes after the fluid began to palpitation, hunger Sense, fatigue, immediately after injection of 50% glucose 60ml symptoms relieved later with 0.9% sodium chloride instead of 10% glucose instillation