Differential Diagnosis of Disease Causation of Hypoglycemia on the Basis of Diagnosis and Treatment for 3 Insulino-ma Patients in Emergency Department
LIU Shan-shan
YAN Zhi-feng
ZHANG Jia-fang
SONG Fei
LIN Fang-yu
ZHANG Hui
YAN Hong
Abstract：Objective To investigate clinical characteristics of insulinoma and key points of differential diagnosis of disease causation of hypoglycemia insulinoma in order to reduce misdiagnosed rate. Methods Clinical data of 3 insulinoma patients was retrospectively analyzed. Results One patient was admitted for sudden disturbance of consciousness;the second patient was admitted for recurrent attacks of hypoglycemia for more than 1 year,and reappearance of disturbance of conscious-ness for 1 h;the third patient was admitted for episodes of palpitation,sweating and limbs quiver for more than 1 year repeat-edly,and reappearance for 10 min. Immediate value of blood glucose was 0. 9-2. 0 mmol/L after admission,and the first diag-nosis in emergency department was hypoglycemia. The value of serum glucose of the first patient was still low after active treat-ment,and the insulinoma history was obtained from the family;the second patient had the insulinoma history by asking;value of serum glucose of the third patient returned to normal after carbohydrate supplement treatment,and insulinoma was confirmed after performing related examinations. The first one died of stubborn hypoglycemia and giving up treatment by family;the other 2 patients were turned to the superior hospitals for surgery. Conclusion Hypoglycemia is mainly cause inducing diabetes, but uncommon cause such as insulinoma can not be overlooked. Clinicians should not only supply active treatment,but also find the primary cause of hypoglycemia for patients with hypoglycemia in emergency department.
Keywords：InsulinomaEmergency servicehospitalMisdiagnosisHypoglycemia
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 38-41 )