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与胃癌相关的低血糖昏迷

Hypoglycaemic coma associated with gastric carcinoma.

作者信息

Macdougall I C, Fleming S, Frier B M

出版信息

Postgrad Med J. 1986 Aug;62(730):761-4. doi: 10.1136/pgmj.62.730.761.

Abstract

Gastric carcinoma may rarely be the cause of tumour-associated hypoglycaemia. We report the case of an elderly woman who presented in hypoglycaemic coma, and who was found subsequently to have an adenocarcinoma of the stomach. Hypoglycaemia persisted despite prednisolone, diazoxide, and a high concentration dextrose infusion. The few published cases are reviewed in which an association was established between gastric carcinoma and hypoglycaemia, and the possible aetiology of the hypoglycaemia is discussed.

摘要

胃癌很少会引发肿瘤相关性低血糖症。我们报告了一例老年女性病例,该患者出现低血糖昏迷,随后被发现患有胃腺癌。尽管使用了泼尼松龙、二氮嗪和高浓度葡萄糖输注,低血糖症状仍持续存在。我们回顾了少数已发表的病例,这些病例证实了胃癌与低血糖症之间存在关联,并讨论了低血糖症可能的病因。

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本文引用的文献

1
Gastrointestinal carcinoma and concomitant hypoglycemia.胃肠道癌与伴发的低血糖症
Ann Intern Med. 1963 Jan;58:149-54. doi: 10.7326/0003-4819-58-1-149.
2
The riddle of tumour hypoglycaemia revisited.肿瘤性低血糖之谜再探。
Clin Endocrinol Metab. 1980 Jul;9(2):335-60. doi: 10.1016/s0300-595x(80)80037-5.
3
Role of tryptophan metabolites in the hypoglycemia associated with neoplasia.色氨酸代谢产物在肿瘤相关性低血糖症中的作用。
Cancer. 1966 Jan;19(1):127-33. doi: 10.1002/1097-0142(196601)19:1<127::aid-cncr2820190114>3.0.co;2-5.
7
The riddle of tumor hypoglycemia.肿瘤性低血糖之谜。
Am J Med. 1966 Mar;40(3):325-30. doi: 10.1016/0002-9343(66)90127-6.

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