Bonapart I E, Diderich P P, Elte J W, Rietveld A P, op de Hoek C T
Department of Internal Medicine, Sint Franciscus Gasthuis, Rotterdam, Netherlands.
Neth J Med. 1996 May;48(5):180-4. doi: 10.1016/0300-2977(95)00107-7.
Spontaneous hypoglycaemia in renal failure occurs more frequently than is considered generally. The pathogenesis is complex. Understanding the underlying mechanisms is of interest to all practitioners attending patients with renal failure. A case report is presented describing a patient with 'spontaneous' hypoglycaemia, without any illness other than renal failure. The various mechanisms contributing to or causing hypoglycaemia are reviewed.
肾衰竭患者中自发性低血糖的发生率比一般认为的要高。其发病机制复杂。了解潜在机制对所有诊治肾衰竭患者的医生来说都很有意义。本文报告一例“自发性”低血糖患者，除肾衰竭外无其他疾病。文中对导致低血糖的各种机制进行了综述。
