以神经系统症状为主的低血糖症临床特点及分析

The Clinical Analysis of Neuroglycopenia of Hypoglycemia Episodes and the Related Mechanisms

目的:分析低血糖症神经系统表现临床特点及其机制,为低血糖症诊治提供临床依据。方法:收集2008年我院收治的以神经系统症状为主的低血糖症2型糖尿病(T2DM)患者30例,分析其病例资料特点。结果:17例(56.7%)患者表现为单纯性的运动性失语或睁眼、呼之不应的状态;19例(63%)发作时电解质为低血钾;糖化血红蛋白值均在正常范围内。纠正低血糖后,意识障碍者神志转清醒,神经系统体征消失,症状缓解。结论:低血糖症神经系统表现复杂多样,同时存在内环境紊乱及合并脑血管意外的可能,故需要认真鉴别,综合诊治。

Objective:To analyze the neurological appearance of hypoglycemia episodes and the related mechanisms, and provide clinical evidence for hypoglycemia treatment to physicians. Method: The records of the 30 hypoglycemia patients with T2DM(Type 2 Diabetes Mellitus) were analyzed. Results:Out of the 30 patients, 17(56%) of them appeared motor aphasia, 19 (63%) were found with hypokalemic, and all of the patients maintained good glycosylated hemoglobin level.Patients were recovered after an intravenous infusion of glucose solution and the neurological appearance resolved on correction of blood glucose. Conclusion: We should evaluate the hypoglycemia patients thoroughly, and pay attention to the possibility that it is accompanied with electrolyte disturbances and strokes.