老年人以精神症状，意识障碍及偏瘫为主要表现的低血糖反应，国外曾有几十例报道，国内报道极少。我院急诊收治的2例患者均拟诊为急性脑血管病，后经血糖检查及CT、检查诊为低血糖反应。为了提高对老年人低血糖反应的认识，本文就我院误诊的2例分析如下。亚病例摘要例1，女，82 Elderly people with psychiatric symptoms, disturbance of consciousness and hemiplegia as the main manifestation of hypoglycemia reaction, there have been dozens of foreign reports, very few domestic reports. Two patients admitted to our hospital emergency department were diagnosed as acute cerebrovascular disease, after blood glucose and CT, check the diagnosis of hypoglycemia. In order to improve the understanding of hypoglycemia in the elderly, this article misdiagnosed 2 cases in our hospital as follows. Subcase Summary Example 1, female, 82