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[低血糖与意识模糊状态]

[Hypoglycemia and states of confusion].

作者信息

Knezević A

机构信息

Medicinski fakultet, Institut za neurologiju, psihijatriju i mentalno zdravlje, Psihijatrijska klinika, Novi Sad.

出版信息

Med Pregl. 1990;43(5-6):221-3.

PMID:2287306
Abstract

In states of hypoglycemia apart from vegetative clinical appearances, rough psychic disorders can also occur in the sense of the disruption of the levels of consciousness, as well as in the form of confusion or the clouding of narrowed consciousness. In regard to the fact that these psychoorganic disorders often occur without the classical appearance of vegetative disorders which are typical for hypoglycemia, psychoorganic disorders therefore, present a great challenge and risk in differential diagnostics. The paper presents two types of confusion states which can occur in the course of hypoglycemia. They are the stiff, stuporous confusion state, as well as the anxious, agitated confusion state.

摘要

在低血糖状态下,除了植物神经症状外,还可能出现严重的精神障碍,表现为意识水平紊乱、意识模糊或意识狭窄混浊。鉴于这些精神器质性障碍常常在没有低血糖典型的植物神经紊乱症状的情况下出现,因此在鉴别诊断中,精神器质性障碍带来了巨大挑战和风险。本文介绍了低血糖过程中可能出现的两种意识模糊状态。它们是僵硬、木僵性意识模糊状态,以及焦虑、激越性意识模糊状态。

相似文献

1
[Hypoglycemia and states of confusion].[低血糖与意识模糊状态]
Med Pregl. 1990;43(5-6):221-3.
2
[Psycho-organic sequelae of hypoglycemia].[低血糖的精神器质性后遗症]
Med Pregl. 1991;44(9-10):393-4.
3
[Psychological symptoms in hypoglycemia].[低血糖中的心理症状]
Dtsch Med Wochenschr. 1987 Nov 20;112(47):1839.
4
Postprandial hypoglycemia and "psychological"symptoms.餐后低血糖与“心理性”症状。
Biol Psychiatry. 1982 Jan;17(1):125-30.
5
[Acute and subacute organic psychoses with altered consciousness. Attempt at classifying severity].[伴有意识改变的急性和亚急性器质性精神病。严重程度分类尝试]
Nervenarzt. 1989 Jun;60(6):344-8.
6
[Psychiatric syndrome due to hypoglycemia].[低血糖所致精神综合征]
Verh Dtsch Ges Inn Med. 1969;75:870-3.
7
[Hypoglycemic transitional syndrome].[低血糖过渡综合征]
Med Welt. 1969 Sep 13;37:2016-9.
8
[How often does decreased consciousness of hypoglycaemia occur in children and adolescents with diabetes type 1 and what are its consequences?].1型糖尿病儿童和青少年低血糖意识降低的发生率是多少,其后果是什么?
Endokrynol Diabetol Chor Przemiany Materii Wieku Rozw. 2004;10(1):9-14.
9
[Pathogenetic mechanisms of lesions of the nervous system in disorders of glucose homeostasis (review)].
Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(6):937-42.
10
[The many-colored picture of endocrine crisis in clinical practice--psychological symptoms in hormonal emergencies].
Praxis (Bern 1994). 1995 Feb 14;84(7):191-6.

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Delirium and Psychotic Symptoms Associated with Hyperglycemia in a Patient with Poorly controlled Type 2 Diabetes Mellitus.一名2型糖尿病控制不佳患者中与高血糖相关的谵妄和精神病性症状
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Acute Hyperglycemia Associated with Psychotic Symptoms in a Patient with Type 1 Diabetes Mellitus: A Case Report.
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Innov Clin Neurosci. 2016 Dec 1;13(11-12):25-27. eCollection 2016 Nov-Dec.