病例介绍患者,女,33岁。因“反复心悸、出汗、乏力1年余,加重2个月”于2014年7月28日入住我院内分泌科。患者曾在当地多家医院辗转就医,症状发作时多次查血糖均低于2.8 mmol/L,最低达1.19 mmol/L,病因诊断不清,治疗效果差。曾晕厥1次,静脉推注50%葡萄糖液后好转。本次入院后检查血常规、尿常规、大便常规、肝功能、肾功能、血电解质、甲状腺功能、皮质醇节律、促肾上腺 Case description Patient, female, 33 years old. Because of “repeatedly palpitations, sweating, fatigue more than 1 year, aggravating 2 months ” on July 28, 2014 admitted to our hospital endocrine department. Patients were removed in many local hospitals for medical treatment, symptoms of multiple check blood sugar were less than 2.8 mmol / L, the lowest 1.19 mmol / L, the cause of the diagnosis is not clear, the treatment effect is poor. Had a syncope 1, intravenous injection of 50% glucose solution improved. After admission to check the blood, urine, stool routine, liver function, renal function, blood electrolytes, thyroid function, cortisol rhythm, adrenal gland