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原发性肝癌在我国发病率高,临床表现形式多样,典型者容易诊断,但某些以其它非典型表现出现易造成误诊。我院自1970～1985年收治原发性肝癌148例,对其中七例特殊临床表现者报告如下。一.反复发作低血糖及低血糖昏迷男性,31岁,因乏力、纳差、反复发作意识丧失入院,三年前曾患肝炎住院好转。二月前无因疲倦乏力,纳差,形体渐瘦。查肝功能TTT及TFT各(++),谓肝炎复发,即休息并护肝治疗未见效。入院前一周凌晨起床突发头昏、心悸、出冷汗,双手发抖伴饥饿感,自服白糖水好转。入院前三天类似发作且有短暂意识丧失,注射高渗葡萄糖后清醒。入院当日
The incidence of primary liver cancer in our country is high, the clinical manifestations are diverse, typical are easy to diagnose, but some of the other atypical manifestations easily lead to misdiagnosis. Our hospital from 1970 to 1985 admitted to primary liver cancer in 148 cases, of which seven cases of special clinical reports are as follows. 1. recurrent hypoglycemia and hypoglycemic coma Male, 31 years old, due to fatigue, anorexia, recurrent loss of consciousness admitted to hospital, three years ago, hospitalized with hepatitis improved. Before February due to fatigue, anorexia, thin body. Check TTT and TFT liver function (++), that the recurrence of hepatitis, that is, rest and protect liver treatment did not work. One morning before going to hospital to get up early morning dizziness, palpitations, a cold sweat, shaking hands with hunger, self-service sugar water improved. A similar episode three days before admission and a brief loss of consciousness, awake after injection of hypertonic glucose. On the day of admission