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目的总结老年低血糖昏迷误诊为脑梗死的原因,探讨防范误诊的方法。方法对我院21例老年低血糖昏迷误诊为脑梗死患者的病史资料进行回顾性分析。结果 21例患者以急性脑梗死收住,确诊为低血糖昏迷后经治疗后意识均转清醒,肢体瘫痪恢复,病理征转阴。结论对老年糖尿病患者有神经症状者,临床医生的诊断不要仅局限于脑血管意外,鉴别诊断应考虑低血糖昏迷,常规查血糖,并详细询问病史,仔细查体,以减少误诊。
Objective To summarize the causes of cerebral infarction misdiagnosed as hypoglycemic coma in old people and to explore ways to prevent misdiagnosis. Methods 21 cases of elderly hypoglycemic coma misdiagnosed as cerebral infarction in patients with history data were retrospectively analyzed. Results 21 patients admitted to acute cerebral infarction, diagnosed as hypoglycemic unconscious consciousness after treatment were transferred to awake, limb paralysis recovery, pathological changes overcast. Conclusions For senile diabetic patients with neurological symptoms, the diagnosis of clinicians should not be confined to cerebrovascular accident. Differential diagnosis should be considered hypoglycemic coma, routine check blood sugar, and detailed history, careful examination to reduce misdiagnosis.