低血糖昏迷为首发症状的食管癌1例

The hypoglycemla stupor for first round symptom esophagus cancer 1 example

低血糖是指由于各种原因使血糖浓度低于2．8mmol／l，而引起的心悸、多汗、手抖、烦燥、抽搐以及昏迷等一系列的临床症状，是内科常见急症之一。其原因多样，发病机制复杂，临床常见于应用胰岛素或口服降糖药物的糖尿病患者以及胰岛素瘤等，而某些消化道肿瘤晚期并发低血糖症的病例也屡见报道。食道肿瘤是消化道系统中常见的恶性肿瘤。早期症状与胃炎难以鉴别。而以低血糖为首发症状入院继而经胃镜检查发现食道下端肿瘤未见报道。现将我院2009年9月4日收治的1例该病案总结报告如下。希望能开拓临床医生的思路，在临床诊疗中充分考虑到某些罕见情况避免漏诊、误诊。

The hypoglycemia is refers because each kind of reason causes the blood sugar density to be lower than 2.8mmol/l, but causes the palpitation, the multi--perspirations, the hand shake, bothersome dry, twitch as well as the stupor and so on a series of clinical symptoms,is one of internal medicine department common acute diseases. Its reason is diverse, the pathogenesis is com- plex,clinical common in the diabetic as well as the insulin lump who falls the sugar medicine using the insulin or the oral administra- tion and so on, but certain digestive tract tumor later period concurrent hypoxemia case of illness also repeatedly sees the report. The esophagus tumor is in the digestive tract system the common malignant tumor. The incipient symptoms and gastritis distinguish with difficulty. But subsequently passes through the gastroscopy discovery esophagus lower extremity tumor take the hypoglycemia as the first round symptom in hospital not to see the report. Presently 1 example this medical record summary report which on September 4,2009 admits my courtyard as follows. The hope can develop clinician＇s mentality, considered fully in clinical diagnosing and trea- ting certain rare situations avoid leaking examine,the error diagnostic.