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目的:分析老年糖尿病患者以神经系统为首发症状的低血糖症的临床表现、病因。方法:收集因出现神经系统表现按脑梗死收入院的老年糖尿病患者16例。结果:16例患者均因低血糖出现神经系统表现,其中偏瘫14例,病理征16例,昏迷7例,抽搐1例,记忆力减退反应迟钝5例,仅2例出现心悸出汗。结论:对于老年糖尿病患者出现不明原因昏迷或急性瘫痪时除常规考虑急性脑血管病外,高度警惕低血糖。
Objective: To analyze the clinical manifestations and causes of hypoglycemia in the elderly diabetic patients with neurological symptoms as the first symptom. Methods: Twenty-six elderly patients with diabetes mellitus who were admitted to the hospital for cerebral infarction due to neurological manifestations were collected. Results: All 16 patients had neurological manifestations due to hypoglycemia, including 14 cases of hemiplegia, 16 cases of pathological signs, 7 cases of coma, convulsion in 1 case, memory loss in 5 cases and only 2 cases of palpitation and sweating. Conclusion: In elderly diabetic patients with unexplained coma or acute paralysis in addition to routine consideration of acute cerebrovascular disease, high vigilance hypoglycemia.