老年胰岛素瘤1例病例报道及文献复习  

Insulinoma in the elderly:a case report and literature review

作　　者：赵紫婷[1] 竺晶 孙静[2] ZHAO Ziting;ZHU Jing;SUN Jing(Department of Geriatrics,the Second Hospital&Clinical Medical School,Lanzhou University,Lanzhou,Gansu 730030,China;Department of Nutrition,the Second Hospital&Clinical Medical School,Lanzhou University,Lanzhou,Gansu 730030,China)

机构地区：[1]兰州大学第二医院特需内科/老年病科,甘肃兰州730030 [2]兰州大学第二医院营养科,甘肃兰州730030

出　　处：《现代医药卫生》2024年第16期2745-2749,共5页Journal of Modern Medicine & Health

基　　金：甘肃省科技厅自然科学基金项目(21JR1RA141)。

摘　　要：胰岛素瘤是最常见的功能性胰腺神经内分泌肿瘤,以内源性胰岛素分泌过多及随之出现的低血糖症状为主要特征。作为老年低血糖及晕厥的罕见原因,胰岛素瘤常被临床医生忽略。与中青年患者比较,老年胰岛素瘤患者更易出现致命性低血糖及不可逆的脑功能损害,早期诊治可提高其生活质量和健康期望寿命。该院2021年6月21日收治1例73岁女性胰岛素瘤患者,通过分析其临床表现、定性及定位诊断、治疗及后续随访,为老年胰岛素瘤的诊治及临床管理提供诊疗思路。Insulinoma is the most common functional pancreatic neuroendocrine tumor,which is characterized by excessive endogenous insulin secretion and subsequent hypoglycemia.As a rare cause of hypoglycemia and syncope in the elderly,insulinoma is often ignored by clinicians.Compared with young and middle-aged patients,elderly patients with insulinoma are more prone to fatal hypoglycemia and irreversible brain function damage.Early diagnosis and treatment can improve their quality of life and healthy life expectancy.On June 21,2021,a 73-year-old female patient with insulinoma was admitted to the hospital.By analyzing its clinical manifestations,qualitative and localization diagnosis,treatment and follow-up,it provided diagnosis and treatment ideas for the diagnosis,treatment and clinical management of insulinoma in the elderly.

关 键 词：胰岛素瘤 低血糖症 胰腺神经内分泌肿瘤 老年人 

分 类 号：R735.9[医药卫生—肿瘤] R587.3[医药卫生—临床医学]