Bobzien W F
JACEP. 1979 Nov;8(11):467-70. doi: 10.1016/s0361-1124(79)80062-3.
Suicide attempts using hypoglycemic agents are uncommon but are associated with a high level of morbidity and mortality. Their recognition is sometimes difficult and the duration of hypoglycemic effect is often prolonged. Two cases that illustrate the difficulties encountered in recognition and therapy are described. Effective therapy depends on adequate glucose supplementation to maintain euglycemia. Therapeutic intervention often must be maintained for several days. Glucocorticoids may be useful in difficult cases. Other modes of therapy, including glucagon, are unproven or controversial.
使用降糖药进行自杀未遂的情况并不常见，但却与高发病率和死亡率相关。对其进行识别有时很困难，且降糖作用的持续时间往往会延长。本文描述了两例说明在识别和治疗中所遇到困难的病例。有效的治疗取决于补充足够的葡萄糖以维持血糖正常。治疗干预通常必须持续数天。糖皮质激素在困难病例中可能有用。包括胰高血糖素在内的其他治疗方式未经证实或存在争议。
