Fernandes J, Berger R
Beatrix Children's Hospital, University Hospital Groningen, The Netherlands.
Baillieres Clin Endocrinol Metab. 1993 Jul;7(3):591-609. doi: 10.1016/s0950-351x(05)80209-5.
The diagnostic approach to children with suspected hypoglycaemia is facilitated by the fact that two clinically distinct groups exist with little overlap: 1. Hypoglycaemias characterized by a fuel deficit only. 2. Hypoglycaemias in which the fuel deficit is overshadowed by symptoms of intoxication. This differentiation is used when taking the medical history, performing the physical examination, and planning the laboratory investigations. The latter may encompass tolerance tests, a fasting test or the use of a non-radioactive glucose isotope. Protocols for such tests are given.
对于疑似低血糖的儿童，其诊断方法因存在两个临床特征明显不同且几乎没有重叠的群体而变得容易：1. 仅以燃料缺乏为特征的低血糖症。2. 燃料缺乏被中毒症状掩盖的低血糖症。在采集病史、进行体格检查以及规划实验室检查时会用到这种区分。后者可能包括耐受性试验、禁食试验或使用非放射性葡萄糖同位素。文中给出了此类试验的方案。
