白血病并发真正的低血糖并不多见。以往的报道多是在试管中由于异常白细胞的糖酵解所致,称之为“人为性”低血糖。过去曾有3例慢性粒细胞性白血病出现症状性低血糖的报道,据悉,急性白血病出现真正低血糖的报道还只有1例,为急性单核细胞性白血病病人。本文报告2例急性粒单细胞性白血病出现低血糖的病例。病例1 患者男性,62岁。因无力、牙龈出血就诊。查体见贫血、牙龈明显增生,肝脾肿大。外周血象: Leukemia complicated with real hypoglycemia is rare. Previous reports mostly in test tubes due to abnormal glycolysis caused by leukocytes, called “artificial” hypoglycemia. In the past there have been 3 cases of chronic myelogenous leukemia symptomatic hypoglycemia was reported, it is reported that there is only one case of acute leukemia reported true hypoglycemia, acute monocytic leukemia patients. This article reports 2 cases of acute myelomonocytic leukemia hypoglycemia cases. Case 1 patient male, 62 years old. Due to weakness, bleeding gums. See anemia, obvious gingival hyperplasia, hepatosplenomegaly. Peripheral blood: