Macdougall I C, Fleming S, Frier B M
Postgrad Med J. 1986 Aug;62(730):761-4. doi: 10.1136/pgmj.62.730.761.
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.
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。