非糖尿病护士中磺脲类药物诱发的人为低血糖症。
Sulfonylurea-induced factitious hypoglycemia in a nondiabetic nurse.
作者信息
Walfish P G, Kashyap R P, Greenstein S
出版信息
Can Med Assoc J. 1975 Jan 11;112(1):71-2.
Abstract
A case of sulfonylureainduced factitious hypoglycemia occurring in a nondiabetic medical nurse is reported. The patient presented with symptoms of hypoglycemia, consistently low fasting plasma glucose values and a reversal of symptoms with glucose administration. An intravenous tolbutamide provocative test on two occasions showed little increase in plasma glucose values. The case is presented to illustrate that sulfonylureainduced hypoglycemia should be considered in the differential diagnosis of fasting adult hypoglycemia, especially in paramedical personnel, and particularly in those with a poor response to the intravenous tolbutamide test.
摘要
报告了一例发生在非糖尿病医护护士身上的磺脲类药物所致人为低血糖症。患者出现低血糖症状，空腹血浆葡萄糖值持续偏低，给予葡萄糖后症状缓解。两次静脉注射甲苯磺丁脲激发试验显示血浆葡萄糖值几乎没有升高。该病例旨在说明，在成人空腹低血糖的鉴别诊断中，尤其是在医护人员中，特别是对静脉注射甲苯磺丁脲试验反应不佳的人群，应考虑磺脲类药物所致低血糖症。
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PLASMA INSULIN IN ORGANIC HYPERINSULINISM: COMPARATIVE EFFECTS OF TOLBUTAMIDE, LEUCINE AND GLUCOSE.器质性高胰岛素血症中的血浆胰岛素：甲苯磺丁脲、亮氨酸和葡萄糖的比较效应
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