低血糖脑病28例临床分析

目的：探讨低血糖脑病临床特点、治疗方法及预后，提高对低血糖脑病的认识和诊治水平，避免误诊。方法对28例诊断明确的低血糖脑病患者的临床资料进行回顾分析，并对其临床表现、治疗方法、预后进行总结分析。结果28例患者中，24例经积极治疗后，均恢复良好，未遗留神经精神症状；2例遗留轻度智能障碍；1例仍遗留有精神症状；1例经进一步检查证实为胰岛素瘤，转上级医院进一步治疗。结论临床医师对低血糖脑病的诊治水平十分重要。通过详细询问病史，及时监测血糖并迅速处理，可以降低低血糖脑病的发生率，即使发生也可以得到有效控制。

Clinical analysis of 28 patients with hypoglycemic encephalopathy

Objective To investigate the clinical feature,treatment and prognosis of hypoglycemic encepha-lopathy in order to improve the levels of the cognition ,the diagnosis and treatment of hypoglycemic encephalopathy and avoid the misdiagnosis .Methods Clinical data of 28 cases of hypoglycemia encephalopathy were retrospectively ana-lyzed.The clinical manifestation of mental and nervous symptom ,treatment and prognosis in that were summarized and analyzed.Results In the 28 patients,24 patients with hypoglycemic encephalopathy recovered well after active treat -ments,did not leave any sequela ,2 patients left mild mental disorders ,one patient left mental symptoms ,one of them was confirmed for insulinoma by further examination ,and was transferred to the superior hospital for further treatment . Conclusion It is very important to improve the diagnosis and treatment level of hypoglycemic encephalopathy for clinical doctor .Taking detailed history and timely checking and controlling blood glucose will reduce the occurrence of hypoglycemic encephalopathy and it can be controlled well once happened .