患者,男,50a,因失语2h 入院,有糖尿病史8a,曾间断用过胰岛素,D860等药。入院前服用优降糖2wk,3次/d,2.5mg/次,入院当天晨6时(空腹)家属发现患者在床上呻吟,神志清楚,肢体活动正常,但不能言语。2h 后言语恢复,头晕,视物不清;下午来本院门诊查血糖(餐后)8.1mmol/L,脑电图轻—中度异常:血、尿常规;尿糖、肝、肾功能、心电图、胸片、头颅片均正常,初步考虑失语系脑血管疾患;入院后仍给优降 Patients, male, 50a, hospitalized for aphasia for 2h, had a history of diabetes 8a, had intermittent use of insulin, D860 and other drugs. Pretreatment taking glyburide 2wk, 3 times / d, 2.5mg / times, 6 am on the morning of admission (fasting) family members found that patients groan in bed, conscious, physical activity, but can not speak. 2h after the speech recovery, dizziness, blurred vision; in the afternoon to our hospital outpatient check blood sugar (postprandial) 8.1mmol / L, EEG mild to moderate abnormalities: blood, urine; urine sugar, liver and kidney function, Electrocardiogram, chest X-ray, skull films are normal, initially considered aphasia cerebrovascular disease; admission still give excellent