Erdös G, Lobmann R, Wolcke B, Werner C
Klinik für Anästhesiologie, Johannes Gutenberg-Universität, Mainz.
Anaesthesist. 2005 Jul;54(7):673-8. doi: 10.1007/s00101-005-0825-2.
Hypoglycemia represents the most frequent endocrinologic emergency situation in prehospital patient care. As the patients are usually unconscious on arrival of emergency medical personnel, often the only way to establish a diagnosis is by determination of the blood glucose concentration. However, even normoglycemic or hyperglycemic levels cannot definitively exclude the diagnosis of a previous hypoglycemia as the cause of the acute cerebral deficiency. Therefore, and especially in the case of insulin-dependent diabetes mellitus, a differential diagnosis should be considered. We report a case of emergency treatment of a hypoglycemic episode in a female patient with prolonged neuroglycopenia together with cerebrovascular dementia and Alzheimer's disease.
低血糖是院前患者护理中最常见的内分泌急症。由于患者在急救医护人员到达时通常已失去意识，往往确定诊断的唯一方法是测定血糖浓度。然而，即使血糖正常或血糖升高也不能明确排除既往低血糖是急性脑功能障碍病因的诊断。因此，尤其是在胰岛素依赖型糖尿病患者中，应考虑进行鉴别诊断。我们报告一例患有长期神经低血糖症以及脑血管性痴呆和阿尔茨海默病的女性患者低血糖发作的急诊治疗病例。
