Primary liver cancer and hypoglycemic coma misdiagnosed as hepatic coma one case analysis.docVIP

 PAGE \* MERGEFORMAT 7 Primary liver cancer and hypoglycemic coma misdiagnosed as hepatic coma one case analysis [Paper Keywords] primary liver cancer; low blood sugar coma [Abstract] Objective: To lead clinicians in primary liver cancer complicated by low blood sugar coma attention. METHODS: Primary liver cancer complicated by low blood sugar coma hepatic coma and one case was misdiagnosed as a retrospective analysis of the results: (1) primary liver cancer and the incidence of low blood sugar coma occur mostly in the fasting or early morning (2) Primary liver cancer and hypoglycemic coma can alleviate the glucose infusion (3) primary liver cancer associated with the incidence of hypoglycemia 8% to 27% Conclusion: Health care workers deal with primary liver cancer complicated by low blood sugar coma to give sufficient attention to prevent misdiagnosis and delayed treatment. 1 Case Information Patients, male, 58 years old. Hospitalized due to disturbance of consciousness 20 minutes. Examination: body temperature 36.8 ℃, pulse 79 beats / min, breathing 21 times / min, blood pressure 120/70mmHg. Pale coma-like, body skin, mucous membranes slightly stained , no bleeding, less than superficial lymph node enlargement. lung breath sounds, no smell and the wet and dry rales. Long belly a little, no whole abdominal tenderness, no rebound tenderness, right upper quadrant full, liver and ribs 3cm , ill, spleen and ribs, ascites (-), tap liver pain, kidney area pain-free call, bowel sounds 4 to 6 times / min, lower extremity edema, limb muscle strength, muscle tone normal questioning three positive history of chronic hepatitis B have a history of 12 years, one year ago, resulting from the feeling of right upper quadrant mass treatment, CT showed substantial liver mass with left branch of portal vein tumor thrombus, liver cirrhosis, ascites. transhepatic pathological examination showed: left hepatic nodular hepatocellular carcinoma, II level, the size of mixed