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便携式泵持续皮下输注胰高血糖素治疗非β细胞肿瘤性低血糖症

Continuous subcutaneous infusion of glucagon by portable pump in non beta cell tumor hypoglycemia.

作者信息

Houlbert D, Altman J J, Lageron A, Capeau J, Dahan R, Friedberg G, Wassef M, Poffenbarger P L, Segrestaa J M

出版信息

Diabete Metab. 1985 Apr;11(2):125-7.

PMID:4007224
Abstract

Subcutaneous infusion of glucagon by portable pump appears to give very effective symptomatic relief from non beta cell tumor hypoglycemia when surgery, radiotherapy and chemotherapy are impossible or ineffective. This mode of glucagon administration was proposed in a patient who had severe nocturnal hypoglycemic attacks. The aim of the study was to specify the modes of utilization and to test the efficiency and the tolerance of this treatment. Glucagon was infused at 400 micrograms/h during every 12 hour night. Because of the hepatic action of glucagon it is very important to use this treatment with an adequate diet and to stop the infusion during the day to reconstitute the glycogen overload. This mode of glucagon administration was very effective in over 6 months of use and well tolerated.

摘要

对于无法进行手术、放疗和化疗或这些治疗无效的非β细胞瘤低血糖症患者,通过便携式泵皮下输注胰高血糖素似乎能非常有效地缓解症状。在一名患有严重夜间低血糖发作的患者中提出了这种胰高血糖素给药方式。本研究的目的是明确其使用方式,并测试这种治疗方法的有效性和耐受性。在每晚12小时期间,以400微克/小时的速度输注胰高血糖素。由于胰高血糖素的肝脏作用,在充足饮食的情况下使用这种治疗方法并在白天停止输注以恢复糖原超负荷非常重要。这种胰高血糖素给药方式在使用超过6个月的时间里非常有效且耐受性良好。

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