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男,64岁,因高血压30余年,Ⅱ型糖尿病13年,合并慢性肾功能不全、左侧内囊部分脑梗塞,于1985年9月14日入院。入院时血糖175mg/dl,尿糖定性(++),而给予优降糖1.25mg,每日3次,治疗3天血糖降至59mg/dl,尿糖(±)而停用。患者于国庆节前饮食未注意控制,吃甜食,尿糖增至(+～++++),于是9月28日又给优降糖1.25mg,每日2次,一周后因疗效不佳而增至每日3次,10月11日食欲不振、恶心,午晚两餐未进食,但无饥饿感、手颤、心悸等低血糖症状。当晚6时40分突然出冷
Male, 64 years old, due to hypertension for more than 30 years, type II diabetes for 13 years, with chronic renal insufficiency, left internal capsule cerebral infarction, on September 14, 1985 admission. Admission of blood glucose 175mg / dl, urine qualitative (++), given glyburide 1.25mg, 3 times a day, 3 days of treatment of blood sugar dropped to 59mg / dl, urine sugar (±) and disabled. Patients before the National Day diet did not pay attention to control, eat sweets, urine increased to (+ ~ ++++), so on September 28 gave glyburide 1.25mg, 2 times a day due to ineffective a week later And increased to 3 times a day, October 11 loss of appetite, nausea, lunch and dinner did not eat, but no hunger, hand tremor, palpitations and other hypoglycemic symptoms. 6:40 that night suddenly out of the cold