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目的总结以精神异常为首发症状的低血糖症的诊疗体会。方法对78例以精神异常为首发症状的低血糖症患者进行血糖监测,根据血糖及热量摄入调整胰岛素等降糖药的用量,避免血糖波动。结果4例误诊为精神分裂症,5例误诊为脑梗塞,误诊率为11.54%。经对症处理后,所有患者均痊愈出院。结论对糖尿病患者应加强糖尿病知识的宣教,建立慢性病档案,对于以精神异常为首发症状的患者应注意询问相关病史及药物服用史,并监测血糖,综合分析病情,防止误诊。
Objective To summarize the diagnosis and treatment of hypoglycemia with mental disorders as the first symptom. Methods Blood glucose was measured in 78 hypoglycemic patients with psychiatric abnormalities as the first symptom. The dosage of hypoglycemic drugs such as insulin was adjusted according to blood glucose and caloric intake to avoid fluctuations of blood glucose. Results 4 cases were misdiagnosed as schizophrenia and 5 cases were misdiagnosed as cerebral infarction. The misdiagnosis rate was 11.54%. After symptomatic treatment, all patients were discharged. Conclusion Diabetes patients should strengthen their missionary knowledge of diabetes, the establishment of chronic disease files, mental disorders as the first symptom of patients should pay attention to ask about the history and medication history, and monitoring of blood glucose, a comprehensive analysis of the disease, to prevent misdiagnosis.