原发性肝癌并发低血糖多见于肝癌晚期的患者,而以严重低血糖昏迷为首发症状的原发性肝癌,国内尚未见报告。 邹某,男性,19岁。因反复昏迷5天于1989年5月3日入院。1989年4月29日晨家人发现其不省人世,即送往医院,经静脉推注高渗糖后立即清醒,当时测血糖为28mg/dl。后反复发作5天转入我院。起病前无腹痛、黄疸、体重改变等。查体见全身无黄染。肝肋下5cm,剑突下2cm触及,质硬。入院后反复于夜间空腹时昏迷,查血糖在0.78—1.68mmol/L,同时测胰岛素及 Primary liver cancer complicated with hypoglycemia more common in patients with advanced liver cancer, and severe hypoglycemic coma as the first symptom of primary liver cancer, no reports of domestic. Zoumou, male, 19 years old. Due to repeated coma 5 days in May 3, 1989 admission. On the morning of April 29, 1989, the family members found their unconscious life, that is, they were rushed to the hospital and sober immediately after intravenous injection of hypertonic sugar. At that time, blood glucose was measured at 28 mg / dl. Repeated after 5 days into our hospital. Before onset no abdominal pain, jaundice, weight changes and so on. Check the whole body without yellow dye. Liver ribs 5cm, xiphoid 2cm touch, hard. Repeated after admission at night when a fasting coma, check blood sugar at 0.78-1.68mmol / L, while measuring insulin and