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病例:女性.42岁。因乏力、消瘦、脱发、贫血14年,劳累后昏迷1小时,于1976年8月28日入院。患者于1962年5月足月生产一女婴。分娩时曾有大出血和昏厥.3日后发热,持续一周余,分娩后无乳汁分泌。3周后逐渐出现头昏、乏力、易倦,并开始脱发,曾多次在当地医院检查为贫血,给予相应治疗,效果不佳,并逐渐加重.自此后无月经;1976年8月28日上午因劳累后觉乏力、心慌、出汗、两手颤抖,旋即昏迷,一小时后来院急诊,急查血糖2.2mmol/L,被诊为低血糖性昏迷,经静脉注射50%葡萄糖后,病人恢复知觉,以低血糖、贫血待查收入院。查体:T36.4、P66、BP11.9/7.9kPa。
Case: Female .42 years old. Due to fatigue, weight loss, hair loss, anemia 14 years, coma after an hour of fatigue, was admitted on August 28, 1976. The patient produced a baby girl full term in May 1962. There have been bleeding and fainting during childbirth. 3 days after the fever, lasting more than a week, no milk secretion after childbirth. 3 weeks later gradually dizziness, fatigue, fatigue, and began to alopecia, many times in the local hospital for anemia, given the appropriate treatment, the effect is not good, and gradually increased since then without menstruation; August 28, 1976 Morning fatigue due to exertion, palpitation, sweating, shaking hands, immediately coma, one hour later hospital emergency, urgent check blood glucose 2.2mmol / L, was diagnosed with hypoglycemic coma after intravenous injection of 50% glucose, the patient recovered Perception, hypoglycemia, anemia to be admitted to hospital. Physical examination: T36.4, P66, BP11.9 / 7.9kPa.