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胰岛素瘤并非罕见,国内外报告逐渐增多.但由于缺乏对本病的认识及警惕性,误诊误治病例屡见不鲜.我院近来收治1例,现报告如下.[1]病例报告患者女,36岁.4个月前劳动时突感头晕,继而晕倒,休息后恢复正常.后经常感到乏力、心慌、多汗,并出现发作性昏睡不醒.于3月前昏睡36小时后,频繁抽搐5小时,但无两眼上翻及口吐白沫.此后出现精神失常,思维不连贯,语言错乱,痴呆症状.多处诊治无效,曾在地区精神病院住院治疗18天,亦未见好转.5天前昏迷后发现左侧肢体瘫痪,于1991年11月30日收入我院内科.
Insulinoma is not uncommon, the report gradually increased at home and abroad, but due to the lack of understanding of the disease and vigilance, misdiagnosis and mistreatment cases are common in our hospital recently admitted to 1 case, the report is as follows [1] .4 months ago when working suddenly felt dizzy, and then fainted, rest and return to normal after often feel weak, palpitation, hyperhidrosis and paroxysmal nocturnal drowsiness .Before 36 months of sleepiness, frequent convulsions 5 Hours, but no two eyes turned up and spit foam .After that, mental disorders, incoherent thinking, language disorder, dementia symptoms. Multiple diagnosis and treatment ineffective, hospitalized in a district mental hospital for 18 days, nor improved.5 Days before the coma was found paralyzed left limb, in November 30, 1991 income in our hospital.