低血糖脑损害24例临床分析  

Clinical analysis of 24 cases of brain damage patients caused by hypoglycemia

作　　者：万淑英 李世学 张芳 

机构地区：[1]河南漯河市第二人民医院神经内科,漯河462000

出　　处：《中国实用神经疾病杂志》2009年第12期19-21,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨低血糖脑损害的发病原因和治疗方法,提高对低血糖脑损害的认识。方法选择2003-2006年我院收治的低血糖性脑损害患者24例,无昏迷者进食或饮糖水,昏迷者静脉注射50%葡萄糖30～60ml,继以10%葡萄糖静滴维持,依血糖监测水平重复静注50%葡萄糖30ml,直至血糖正常,意识清晰。偏瘫者给予抗凝、抗血小板聚集、脑保护剂治疗。结果23例患者10～60min内意识清晰,癫癎发作停止。另1例因股骨颈骨折行股骨头置换术,大脑中动脉主干梗死,死亡。结论低血糖性脑损害易被误诊,如不及时救治会出现昏迷,甚至死亡。随意增加药量是导致低血糖性脑损害的主要原因。应对糖尿病患者及家属进行宣教,反复告知用药过程中注意事项,防止低血糖的发生。Objective To study the reason of brain damage caused by low blood sugar and treatment methods to improve the awareness of these patients. Methods From 2003 to 2006, our hospital included 24 cases of patients with brain damage caused by hypoglycemia. Patients without coma ate or drank sugar and patients with coma were injected with 30- 60ml 50% glucose, followed by 10% glucose infusion to maintain. According to blood glucose, 30ml 50% glucose were repeated injected until the blood sugar and consciousness were normal. Hemiplegia were treated with anticoagulant, anti-platelet aggregation and brain protective agent. Results Twenty-three patients awared within 10-60min and the seizures also stop. One of them died because of femoral neck fracture of the femoral head arthroplasty, the backbone of the middle cerebral artery infarction. Conclusion Brain damage caused by hypoglycemia is easily misdiagnosed. Coma or even death will happen without treatment. Arbitrary increase in dose of low blood sugar is the main reason for brain damage. It is necessary to dealing with diabetes and carrying out missionary to their family members to prevent the occurrence of low blood sugar.

关 键 词：低血糖 意识障碍 偏瘫 癫癎 

分 类 号：R587.3[医药卫生—内分泌]