胰岛素瘤较为少见。自从Nicolls尸检中发现了本病以后,医学界对自发性低血糖有了进一步认识。本院曾收治胰岛素瘤一例,经手术因寻找不到肿瘤而盲目切除胰体尾,手术后3周症状复发,经再次手术找到胰头后部肿瘤,予以切除,则症状消除。病例摘要聂某,男,37岁,工人。于1971年起突发神智不清、四肢乱动、谵语、震颤、出汗、面色苍白,不久即清醒。因反复发作,于1976年5月住院,曾诊断为“神经官能症”、“癔病”、“风湿痛”等,此后发作频繁,疲劳、饥饿时易诱发上述症状,病员感到发慌时,立即进食,常可避免发作。由于发作频繁而丧失劳动力。第5次入院时,检查血糖为29mg％而疑为胰岛素瘤,再进一步作饥饿 Insulinomas are rare. Since the discovery of the disease in Nicolls autopsy, the medical community has a further understanding of spontaneous hypoglycemia. One case of insulinoma was treated in this hospital. After surgery, the pancreas and body were blindly removed because no tumor could be found. After 3 weeks of surgery, the symptoms recurred. After surgery, the tumor of the head of the pancreas was found and removed. The symptoms were eliminated. Case summary Nie Mou, male, 37 years old, worker. In 1971, she suddenly became awake as soon as she was conscious of confusion, limb movements, proverbs, tremors, sweating, and paleness. Because of repeated attacks, he was admitted to hospital in May 1976. He had been diagnosed with neurosis, rickets, rheumatism, etc. Since then, he has had frequent attacks, and the above symptoms are easily induced during fatigue and hunger. When the patient feels panic, he immediately eats. Can often avoid attacks. Loss of labor due to frequent attacks. On the 5th admission, check the blood glucose for 29mg% and suspect insulinoma, and further hunger