发作性意识模糊,心悸10年余  

Repeatedly Confusion of Consciousness and Palpitation for Ten Years

作　　者：陈国榕 阳洪波[2,8] 罗亚平[3,8] 吴文铭[4,8] 孟芝兰[5,8] 李海龙[6,8] 张遥[7,8] 吴东[1,8] 吴晰[1,8] 杨爱明[1,8] CHEN Guo-rong;YANG Hong-bo;LUO Ya-ping;WU Wen-ming;MENG Zhi-lan;LI Hai-long;ZHANG Yao;WU Dong;WU Xi;YANG Ai-ming(Department of Gastroenterology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Endocrinology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Nuclear Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Pathology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Clinical Nutrition,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Neurology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;State Key Laboratory of Complex Severe and Rare Disease,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院消化内科,北京100730 [2]中国医学科学院北京协和医学院北京协和医院内分泌科,北京100730 [3]中国医学科学院北京协和医学院北京协和医院核医学科,北京100730 [4]中国医学科学院北京协和医学院北京协和医院基本外科,北京100730 [5]中国医学科学院北京协和医学院北京协和医院病理科,北京100730 [6]中国医学科学院北京协和医学院北京协和医院临床营养科,北京100730 [7]中国医学科学院北京协和医学院北京协和医院神经科,北京100730 [8]中国医学科学院北京协和医学院北京协和医院疑难重症及罕见病国家重点实验室,北京100730

出　　处：《协和医学杂志》2021年第2期275-281,共7页Medical Journal of Peking Union Medical College Hospital

基　　金：北京市自然科学基金7192162;中国医学科学院临床与转化医学研究基金2019XK320036;北京协和医学院医学教育改革基金资助项目2019zlgc0503。

摘　　要：一例老年男性患者因胰尾部胰岛素瘤反复发作导致低血糖,频繁发作意识障碍,因传统影像学的局限性难以具体定位肿瘤位置,且患者高龄伴慢性肾脏病,外科手术治疗风险较高。经多学科团队讨论后,采用前沿的影像学检查方法和新兴的内镜治疗技术,最终解决了患者的诊治难题。在该例患者诊治过程中,多学科团队应用本领域最新技术共同诊治,体现了多学科协作的重要性。This patient had recurrent hypoglycemia and frequent disturbance of consciousness caused by the insulinoma,but the definite location of the tumor could not be determined due to the limitations of conventional imaging,and he was unable to undergo surgical treatment because of his advanced age and chronic kidney disease.After multidisciplinary discussion,we applied cutting-edge imaging examination and emerging endoscopic treatment techniques,and finally solved the problem of diagnosis and treatment of the patient.This process reflects the importance of multidisciplinary cooperation:various disciplines explore the latest technologies and progress in the fields,and jointly assist in the management of complex diseases.

关 键 词：胰岛素瘤 超声内镜 正电子发射计算机断层显像 

分 类 号：R576[医药卫生—消化系统] R735.9[医药卫生—内科学]