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市中心急症室的低血糖症:一项为期12个月的调查。

Hypoglycaemia in an inner-city accident and emergency department: a 12-month survey.

作者信息

Feher M D, Grout P, Kennedy A, Elkeles R S, Touquet R

机构信息

Department of Clinical Pharmacology, St Mary's Hospital, London, England.

出版信息

Arch Emerg Med. 1989 Sep;6(3):183-8. doi: 10.1136/emj.6.3.183.

DOI:10.1136/emj.6.3.183
PMID:2789581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1285603/
Abstract

In a 12-month survey on the causes and frequency of hypoglycaemia presenting to an inner-city accident and emergency department, a total of 86 cases were recorded. A missed meal and/or alcohol ingestion accounted for most of the precipitating causes, being 52% and 21% respectively. As 49% of subjects presented with major clinical manifestations of hypoglycaemia (fit or coma), greater emphasis is required in the instruction on regularity of meal and caution with alcohol in high-risk groups such as the diabetic and also in non-diabetic groups.

摘要

在一项针对市中心一家事故与急救部门收治的低血糖病因及发生频率的为期12个月的调查中,共记录了86例病例。漏餐和/或饮酒是大多数诱发原因,分别占52%和21%。由于49%的患者出现了低血糖的主要临床表现(抽搐或昏迷),因此需要在针对糖尿病等高危人群以及非糖尿病群体的饮食规律和饮酒注意事项的指导方面给予更大的重视。

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本文引用的文献

1
Insulin-induced hypoglycaemia in an accident and emergency department: the tip of an iceberg?急诊科中的胰岛素所致低血糖:冰山一角?
Br Med J (Clin Res Ed). 1982 Oct 23;285(6349):1180-2. doi: 10.1136/bmj.285.6349.1180.
2
Smoking and drinking by middle-aged British men: effects of social class and town of residence.英国中年男性的吸烟与饮酒:社会阶层及居住城镇的影响
Br Med J (Clin Res Ed). 1981 Dec 5;283(6305):1497-502. doi: 10.1136/bmj.283.6305.1497.
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Diabetes mellitus and criminal responsibility.糖尿病与刑事责任。
Med Sci Law. 1984 Apr;24(2):95-101. doi: 10.1177/002580248402400206.
4
Hypoglycaemic reactions in 172 Type 1 (insulin-dependent) diabetic patients.172例1型(胰岛素依赖型)糖尿病患者的低血糖反应
Diabetologia. 1983 Feb;24(2):95-9. doi: 10.1007/BF00297389.
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Diabetes, driving, and the general practitioner.糖尿病、驾驶与全科医生。
Br Med J (Clin Res Ed). 1985 Jul 20;291(6489):181-2. doi: 10.1136/bmj.291.6489.181.
6
Hypoglycemia in hospitalized patients. Causes and outcomes.住院患者的低血糖症。病因与后果。
N Engl J Med. 1986 Nov 13;315(20):1245-50. doi: 10.1056/NEJM198611133152002.
7
Progress review: hypoglycemic brain damage.进展回顾:低血糖性脑损伤
Stroke. 1986 Jul-Aug;17(4):699-708. doi: 10.1161/01.str.17.4.699.
8
Glycaemic threshold for changes in electroencephalograms during hypoglycaemia in patients with insulin dependent diabetes.胰岛素依赖型糖尿病患者低血糖期间脑电图变化的血糖阈值
Br Med J (Clin Res Ed). 1988 Mar 5;296(6623):665-7. doi: 10.1136/bmj.296.6623.665.
9
Glucose counterregulation, hypoglycemia, and intensive insulin therapy in diabetes mellitus.糖尿病中的葡萄糖反向调节、低血糖与强化胰岛素治疗
N Engl J Med. 1985 Jul 25;313(4):232-41. doi: 10.1056/NEJM198507253130405.
10
Alcohol and changes in body constitutent; glucose and hormones.酒精与身体成分变化;葡萄糖与激素。
Proc R Soc Med. 1975 Jun;68(6):377-80. doi: 10.1177/003591577506800613.