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体位性低血压为糖尿病的慢性并发症,治疗困难,预后差。本文报告两例胰岛素依赖型糖尿病并有体位性低血压患者接受消炎痛治疗后,立位低血压明显改善。例1 男,30岁。住院号:15613。因糖尿病9年,头晕、恶心2周于1985年9月27日入院。入院前2周时有头晕,自认为是低血糖反应而停用胰岛素。此后发生酮症酸中毒,在外院治疗、酮症纠正后转入我院。入院时查:血压14.7/9.33kPa,双眼白内障,心肺肝脾无异常。双膝反射减弱,跟腱反射消失。空腹血糖32.5mmol/L,尿糖(++),尿酮(一)。给予皮下注射胰岛素40U/日,空腹血糖降至10.8mmol/L。患者仍头晕且在立位时加重,有立位晕厥。多次测血压卧位13.3～18.7/
Postural hypotension is a chronic complication of diabetes, treatment is difficult, the prognosis is poor. This article reports two cases of insulin-dependent diabetes mellitus and patients with orthostatic hypotension receiving indomethacin treatment, orthostatic hypotension was significantly improved. Example 1 male, 30 years old. Hospital number: 15613. 9 years due to diabetes, dizziness, nausea, 2 weeks in September 27, 1985 admission. 2 weeks before admission, dizziness, since they considered hypoglycemic response and disable insulin. Since then ketoacidosis occurred in the hospital treatment, ketosis correction transferred to our hospital. Admission check: blood pressure 14.7 / 9.33kPa, binocular cataracts, heart and lung no abnormal liver and spleen. Reflex decreased knees, Achilles tendon reflex disappeared. Fasting blood glucose 32.5mmol / L, urine sugar (++), urine ketone (a). Subcutaneous injection of insulin 40U / day, fasting blood glucose dropped to 10.8mmol / L. The patient is still dizzy and aggravating in standing position, with syncope upright. Multiple blood pressure test lying position 13.3 ~ 18.7 /