Misdiagnosis of hypoglycemia.doc

 PAGE \* MERGEFORMAT 6 Misdiagnosis of hypoglycemia [Abstract] Objective: To investigate the cases were misdiagnosed as hypoglycemia characteristics. Methods: 12 cases were misdiagnosed as hypoglycemia in the clinical manifestations, laboratory examination and analysis of treatment results: diversity of clinical manifestations of hypoglycemia. Conclusions: Hypoglycemia in brain dysfunction easily misdiagnosed. [Keywords] hypoglycemia, brain function, cerebral vascular accident Hypoglycemia mainly sympathetic nerve to the brain dysfunctions are difficult to identify. To the 2002 to 2008 treated 12 cases of hypoglycemia were retrospectively analyzed as follows. 1 Clinical data 1.1 General Information 12 patients, 8 males, 4 females, aged 45 to 76 years, of which nine cases have a history of diabetes, history of alcohol abuse in 1 case, the history of subtotal gastrectomy in 1 case, long-term use of glibenclamide in 2 cases, Xiaoke Pill 4 cases, glibenclamide and Xiaoke Pill in 1 case, application of insulin in 1 case, misdiagnosed as a large area of #8203;#8203;cerebral infarction in 6 cases, 4 cases of brainstem infarction, cerebral hemorrhage in 1 case, carbon monoxide poisoning cases. misdiagnosed time within 24 h. 1.2 Clinical manifestations Coma in 9 cases, bilateral mydriasis in 7 cases, ranging from large bilateral pupil 1 case of psychiatric symptoms in 2 cases, epilepsy in 1 case. Pyramidal signs positive in 6 cases, muscle 2 to 3 in 6 cases, repeated coma in 1 case, even after recovery of consciousness have focal signs in 2 cases. 1.3 Laboratory and other tests 12 cases of blood sugar levels were low, with lt;1.0 mmol / L and 1 case, 1.0 ~ 2.0 mmol / L in 6 cases, 2.1 ~ 2.8 mmol / L in 5 cases. Are done head CT examination, 3 patients showed basal ganglia lacunar cerebral infarction, 9 cases were negative, 1 case of carboxyhemoglobin mildly abnormal. 2 Results 12 cases were admitted to hospital. Check blood glucose af