低血糖昏迷42例临床分析

目的探讨低血糖昏迷患者的病因及临床特点。方法对42例低血糖昏迷患者的临床资料进行回顾性分析。结果老年患者容易发生低血糖昏迷，占69．0％（29／42）；糖尿病低血糖昏迷占83．3％（35／42），病因以用药不当为主；非糖尿病低血糖昏迷占16．7％（7／42），包括2例席汉氏综合征及2例酒精性低血糖。40例低血糖昏迷患者早期治疗效果良好。结论应加强预防低血糖的知识宣传，特别是针对老年人。建议将血糖检测作为昏迷患者的常规检测项目，以利于快速确立正确诊断。

The Clinical Analysis of 42 Cases Patients with Hypoglycemic Coma

Objective To investigate the causes and clinical features in patients with hypoglycemic coma. Methods A total of 42 patients with hypoglycemic coma were analyzed retrospectively. Results Elderly patients had the high incidence （69.0%,29/42） of hypoglycemic coma. There was 83.3%（35/42） of patients suffered from diabetes mellitus,and most of them were due to an irrational treatment with drugs. 16.7% （7/42） patients is non-diabetes mellitus patient,including 2 patients suffered from Sheehan syndrome and 2 from alcoholic hypoglycemia. 40 patients with hypoglycemic were able to obtain effective therapy in the early phase of coma. Conclusion We should carry out more educations for patients to prevent the incidence of hypoglycemia, especially for elderly patients. Blood glucose examination should be warranted for comatose patients, in order to obtain the correct diagnosis quickly.