Religa W, Sztoch M
Oddziału Wewnetrznego A Szpitala im. M. Pirogowa, Lodzi.
Pol Tyg Lek. 1991;46(14-16):279-80.
The authors present two cases of chronic alcoholism in two female patients aged 41 and 52 years without diabetes mellitus, in whom hypoglycaemic coma occurred during the abstinence period. Hypoglycaemia in one patient occurred suddenly as a result of fasting within 24 hours following the last alcohol intake, whereas a severe hypoglycaemia in the second patient was developing progressively during 72 hours; patient did not eat much and the last meal took 24 hours before the onset of hypoglycaemic coma. Diagnosis of hypoglycaemic coma was suspected because as no alcohol or acetic acid smell were felt, no alcohol or methanol was detected in blood (tested only in one patient). Adrenergic reactions were not distinct (no excessive sweating, convulsions, tachycardia). The authors suggest, that a severe hypoglycaemia should be considered in patients suspected of alcoholism, and the treatment should start earlier with intravenous glucose administration.
作者报告了两例41岁和52岁无糖尿病的女性慢性酒精中毒病例，她们在戒酒期间发生了低血糖昏迷。其中一名患者的低血糖是由于最后一次饮酒后24小时内禁食突然发生的，而另一名患者的严重低血糖在72小时内逐渐发展；该患者进食不多，最后一餐在低血糖昏迷发作前24小时。由于未闻到酒精或醋酸气味，血液中未检测到酒精或甲醇（仅对一名患者进行了检测），因此怀疑为低血糖昏迷。肾上腺素能反应不明显（无多汗、抽搐、心动过速）。作者建议，对于疑似酒精中毒的患者应考虑严重低血糖，治疗应尽早开始静脉输注葡萄糖。
