优降糖已在临床上广泛使用,由该药引起的低血糖昏迷,虽也有少数报道,但特点不一,现将我院近期收治3例报告如下。例1:女,74岁,以咳嗽、咯痰、全身水肿而住院。既往无明显糖尿病史及高血压史。入院后查BP22/12kPa,Hb70g/L,RBC3.0×10~(12)/L,尿蛋白((?)),尿糖((?)),尿酮体((?)),血糖19.3mmol/L,BUN13mmol/L,胸透示“肺感染”。B 超示肝大,右胸中等量胸水。心电图示ST—TⅡ、Ⅲ、aVF、V_5改变。诊断:糖尿病、糖尿病肾病、肺感染、冠心病。患者饮食欠 The glyburide has been widely used clinically, hypoglycemic coma caused by the drug, although there are few reports, but different characteristics, now the hospital admitted to our hospital in 3 cases reported as follows. Example 1: Female, 74 years old, hospitalized with cough, expectoration, generalized edema. Past history of no obvious history of diabetes and hypertension. After admission, blood glucose (19.2mmol / L), blood glucose (22.3%), blood glucose L, BUN13mmol / L, thoracic show “lung infection.” B ultrasound shows liver, right chest, moderate amount of pleural effusion. ECG shows ST-T Ⅱ, Ⅲ, aVF, V_5 changes. Diagnosis: Diabetes, diabetic nephropathy, lung infection, coronary heart disease. Patients lack of diet