摘要
目的：探讨饮酒后低血糖昏迷的发生机制及诊疗方法。方法：选择我院急诊酒精中毒患者16例，根据其入院时临床表现及低血糖程度，给予高糖及纳洛酮静滴，观察患者治疗后的症状及血糖改善的变化。结果：经过2h治疗后所有患者症状均有明显的改善，昏迷患者意识逐渐恢复，心悸，震颤，出汗等症状好转，复查血糖在4．4～6．2mmol／L后出院。结论：空腹及有肝病史患者在大量饮酒后易出现低血糖表现，发病机制是酒精在肝脏内代谢，可抑制糖异生引起低血糖；此外，饮酒后乙醇可刺激胰岛素分泌增加导致低血糖发生。同时，需要注意与醉酒症状及脑血管病相鉴别。
Objective： to probe the pathogenesis and means for diagnosis - therapy of hypoglycemic coma cased by alcoholism. Methods： Choose 16 emergency cases of alcoholism in our hospital; Give the patients intravenous injection of high glucose and naloxone according to their clinical symptoms and hypoglycemia level; Observe the patients＇ symptoms and changes of blood glucose after treatment. Results： After 2 hours＇ treatment, all the patients＇ symptoms have improved significantly. Comatose patients recovered consciousness with improvement of symptoms such as palpitation, tremor, sweating, and discharged after the review glucose in 4.4- 6.2mmol/L. Conclusion： Fasting people and the patients with a history of liver disease tend to have hypoglycemia symptoms after over - drinking alcohol. Hypoglycemia is caused by alcohol metabolism in liver which inhibit glucose health differences. That is pathogenesis. In addition, drinking alcohol may stimulate insulin secretion and lead to an increase of hypoglycemia. At the same time, doctors should distinguish between drunken symptoms and cerebrovascular disease.
出处
《湖北职业技术学院学报》
2008年第2期107-108,共2页
Journal of Hubei Polytechnic Institute
关键词
酒精性
低血糖
昏迷
alcohohc
hypoglycemia
coma
