Toth E L, Lee D W
Department of Medicine, University of Alberta, Edmonton, Canada.
Nephron. 1991;58(3):325-9. doi: 10.1159/000186445.
A review of the literature on 'spontaneous'/uremic hypoglycemia reveals that in only 4 of 36 cases is there no clear explanation for the low blood glucose. In all other cases there were factors in addition to chronic renal failure that could have accounted for hypoglycemia. These factors included states of malnutrition, drugs, and other illnesses. We propose that there is no merit in the term 'spontaneous' hypoglycemia, and that the multifactorial nature of uremic hypoglycemia should be appreciated.
对“自发性”/尿毒症性低血糖相关文献的综述表明，在36例病例中，只有4例低血糖没有明确原因。在所有其他病例中，除慢性肾衰竭外，还有其他因素可能导致低血糖。这些因素包括营养不良状态、药物和其他疾病。我们认为“自发性”低血糖这个术语没有意义，应该认识到尿毒症性低血糖具有多因素性质。
