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1例76岁男性患者,因痛风性急性关节炎发作,自行分次口服秋水仙碱3mg/15h。第2天出现意识模糊、呼之不应、周身大汗、四肢无自主活动。实验室检查:血糖2.6mmol/L,肝功能、电解质、血肌酐等均正常,诊断为低血糖症。立即静脉推注50%葡萄糖20ml,约2min后患者意识恢复,改为10%葡萄糖500ml静脉滴注,1h后患者逐渐恢复正常。次日晨,患者再次出现大汗淋漓、意识模糊,血糖3.2mmoL/L,给予50%葡萄糖20ml静脉推注后好转。观察4d,患者无不适,出院。
A 76-year-old male patient with oral galectin 3 mg / 15 h was given oral gout due to the onset of gouty acute arthritis. On the second day, there was a vague feeling, which should not be exhausted. The whole body sweat, involuntary movements of the limbs. Laboratory tests: blood glucose 2.6mmol / L, liver function, electrolytes, serum creatinine were normal, the diagnosis of hypoglycemia. Immediate intravenous injection of 50% glucose 20ml, about 2min patient consciousness recovery, replaced by 10% glucose 500ml intravenous infusion, 1h after the patient gradually returned to normal. The next morning, the patient again sweating, confusion, blood glucose 3.2mmoL / L, give 50% glucose 20ml intravenous injection improved. Observation 4d, patients without discomfort, discharged.