CAJ | 학술논문

目的：分析19例未察觉的低血糖症患者误诊情况，提高临床医生对该病的认识。方法选择我院急诊科2011年9月-2013年5月收治的未察觉的低血糖症患者19例，回顾性分析其误诊情况及转归。结果误诊情况：脑炎6例、脑梗死及脑出血各4例、癫痫3例、癔症2例。转归：17例患者经治疗后症状迅速缓解，1例患者昏迷13 h后清醒，1例合并脑梗死患者因误诊27 h后死亡。结论医务人员应提高对未察觉的低血糖症的认识，做出正确的诊断与鉴别诊断，及时采取有效治疗方法，以免造成反复低血糖、低血糖性自主神经功能障碍等。
목적：분석19례미찰각적저혈당증환자오진정황，제고림상의생대해병적인식。방법선택아원급진과2011년9월-2013년5월수치적미찰각적저혈당증환자19례，회고성분석기오진정황급전귀。결과오진정황：뇌염6례、뇌경사급뇌출혈각4례、전간3례、억증2례。전귀：17례환자경치료후증상신속완해，1례환자혼미13 h후청성，1례합병뇌경사환자인오진27 h후사망。결론의무인원응제고대미찰각적저혈당증적인식，주출정학적진단여감별진단，급시채취유효치료방법，이면조성반복저혈당、저혈당성자주신경공능장애등。
Objective To analyze the diagnostic errors of 19 patients with unaware hypoglycaemia,to improve the cli-nician's awareness. Methods Diagnostic errors and prognosis were retrospectively analyzed of 19 patients with unaware hypogly-caemia admitted to the Department of Emergency in our hospital from September 2011 to May 2013. Results Diagnostic errors:6 cases misdiagnosed as encephalitis,4 cases as cerebral infarction,4 cases as intracerebral hemorrhage,3 cases as epilepsy and 2 cases as hysteria. 17 cases got quickly relieved after treatment,1 case with coma recoveried in 13 hours,1 case with cere-bral infarction died in 27 hours due to diagnostic errors. Conclusion Clinicians should increase the recognition of unaware hypo-glycaemia,make correct diagnosis and identification diagnosis,and take regular treatment,to avoid repeated hypoglycemia and hypoglycaemia-associated autonomic failure.