1病例摘要患者,女,74岁因反复头晕伴全身乏力8年,加重一周入院。患者原有高血压、糖尿病8年。平素服用格华止。两年前患原发性肝癌先后行4次介入化疗。患肝癌期间,用中效胰岛素治疗,2次/天,效果一般。入院后病人不愿接受胰岛素治疗,改用口服降糖药,先用达美康80mg,2次/天,拜糖 1 case summary Patients, female, 74 years old due to repeated dizziness with generalized fatigue for 8 years, increased one week admission. Patients with high blood pressure, diabetes for 8 years. Gehua only take plain. Two years ago suffering from primary liver cancer 4 times before and after interventional chemotherapy. During liver cancer, with the treatment of insulin, 2 times / day, the general effect. After admission, patients do not want to accept insulin therapy, switch to oral hypoglycemic agents, first with the United States 80mg, 2 times / day, sugar