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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.

DOI:10.1136/pgmj.62.730.761
PMID:3774709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2418855/
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。

相似文献

1
Hypoglycaemic coma associated with gastric carcinoma.与胃癌相关的低血糖昏迷
Postgrad Med J. 1986 Aug;62(730):761-4. doi: 10.1136/pgmj.62.730.761.
2
Hypoglycaemic coma: A presenting feature of secondary carcinoma of the liver.低血糖昏迷:肝癌转移瘤的一个表现特征。
Ir J Med Sci. 1977 Jan;146(1):12-4. doi: 10.1007/BF03030920.
3
Hypoglycemia and ventricular tachycardia due to adenocarcinoma of the stomach.胃腺癌所致低血糖症与室性心动过速
Am J Med Sci. 1975 May-Jun;269(3):403-8. doi: 10.1097/00000441-197505000-00015.
4
Pancreatic somatostatinoma presenting with hypoglycaemia.
Clin Endocrinol (Oxf). 1980 Jun;12(6):603-8. doi: 10.1111/j.1365-2265.1980.tb01382.x.
5
Doege-Potter syndrome: hypoglycaemic coma in a 90-year old due to a solitary fibrous tumour.Doege-Potter 综合征:90 岁老人因孤立性纤维瘤导致低血糖昏迷。
Age Ageing. 2017 May 1;46(3):527-529. doi: 10.1093/ageing/afw221.
6
[Recurrent hypoglycemic coma associated with gastric cancer].[复发性低血糖昏迷与胃癌相关]
Diabete. 1971 Jan-Mar;19(1):47-8.
7
[Adenocarcinomatous pleural lesion associated with hypoglycemia].[与低血糖相关的腺癌性胸膜病变]
Rev Mal Respir. 1992;9(4):474-6.
8
Gastric carcinoma associated with severe hypoglycemia sensitive to diazoxide.与对二氮嗪敏感的严重低血糖相关的胃癌
Diabete Metab. 1979 Dec;5(4):287-91.
9
Hypoglycaemic coma in severe primary hypothyroidism.严重原发性甲状腺功能减退症中的低血糖昏迷
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[Hypoglycemic coma in chronic alcoholism].[慢性酒精中毒性低血糖昏迷]
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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.
4
Carcinoma of stomach and other non-pancreatic lesions as causes of spontaneous hypoglycaemia.胃癌及其他非胰腺病变作为自发性低血糖的病因
Br J Surg. 1965 Dec;52(12):925-8. doi: 10.1002/bjs.1800521205.
5
Gastric cancer containing insulin and associated with hypoglycemia.含有胰岛素并与低血糖相关的胃癌。
Diabetes. 1968 May;17(5):286-9. doi: 10.2337/diab.17.5.286.
6
[Recurrent hypoglycemic coma associated with gastric cancer].[复发性低血糖昏迷与胃癌相关]
Diabete. 1971 Jan-Mar;19(1):47-8.
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.
8
Hypoglycemia and ventricular tachycardia due to adenocarcinoma of the stomach.胃腺癌所致低血糖症与室性心动过速
Am J Med Sci. 1975 May-Jun;269(3):403-8. doi: 10.1097/00000441-197505000-00015.
9
Gastric carcinoma associated with severe hypoglycemia sensitive to diazoxide.与对二氮嗪敏感的严重低血糖相关的胃癌
Diabete Metab. 1979 Dec;5(4):287-91.