<link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/css/video-js.min.css?v=1"><link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/article/css/base.css?v=5"><link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/article/css/index.css?v=35"><link rel="stylesheet" href="https://ysz-web.yxj.org.cn/live/dist/static/base/index.css?ysz_v=2.0"><script src="https://studioyszimg.yxj.org.cn/js/dsbridge.js?v=13" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/dsBridge/main.js?v=26" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/live/dist/static/base/fun.js?ysz_v=3" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/live/dist/static/js/nativeToWeb.js?v=1" type="text/javascript"></script><div id="ysz-header" style="margin:0;overflow:hidden;"><h1 style="font-size:24px;line-height:1.8;color:#333333;word-wrap:break-word;">警惕|这些常见的非降糖药,可能会引起低血糖</h1><h2 style="font-size:16px;color:#999999;word-wrap:break-word;"><em style="font-style:normal;margin-right:10px;color:#7f7f7f;display:inline-block;">2021-05-19</em><em style="font-style:normal;margin-right:10px;color:#7f7f7f;display:inline-block;">李自平</em><em style="font-style:normal;margin-right:10px;color:#7f7f7f;display:inline-block;">原创:医学界内分泌频道</em></h2></div><p class="brief">有一群管“闲事”的药!</p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); text-align: right; line-height: 1.75em; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; color: rgb(136, 136, 136); font-family: -apple-system, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; font-size: 12px; letter-spacing: 0.544px; box-sizing: border-box !important; outline: none 0px !important;">仅供医学专业人士阅读参考</span></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;; color: rgb(0, 0, 0);">低血糖发生时,首先出现饥饿感,出虚汗、颤抖、头晕眼花、心跳加快、四肢无力,继则烦躁、性格改变、行为怪异,直至出现昏迷、抽搐,甚至诱发心肌梗死、脑卒中乃至死亡。有些老年人或者植物神经病变的糖友,可能不出现前期症状就直接进入昏迷状态。<br/></span></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;; color: rgb(0, 0, 0);">“多数人眼中的内分泌科,都是血糖高的病人,殊不知低血糖的病人我们也常常遇到,比高血糖更加凶险”。依稀记得急诊室那些由于低血糖大抢救的病人,每一分每一秒都在和死神赛跑,如果不及时查明原因,对症治疗,可能就要命悬一线!除了许多疾病会引起低血糖外,许多药物也会引起低血糖甚至出现低血糖昏迷,这个原因不容忽视!</span></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; outline: none 0px !important;"><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;; font-size: 18px; color: rgb(215, 0, 15);">01 易引起低血糖的药物</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><table width="464"><tbody style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important;"><tr class="firstRow" style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; height: 32px;"><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-color: white; cursor: text; background: gray; box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(255, 255, 255); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">序号</span></strong></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top-color: white; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: gray; box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(255, 255, 255); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">药物</span></strong></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top-color: white; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: gray; box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(255, 255, 255); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">序号</span></strong></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top-color: white; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: gray; box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(255, 255, 255); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">药物</span></strong></p></td></tr><tr style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; height: 45px;"><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left-color: white; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">1</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">胰岛素</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">7</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">水杨酸制剂</span></p></td></tr><tr style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; height: 32px;"><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left-color: white; cursor: text; background: rgb(217, 217, 217); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">2</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(217, 217, 217); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">磺酰脲类降糖药</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(217, 217, 217); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">8</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(217, 217, 217); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">奎宁和奎尼丁</span></p></td></tr><tr style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; height: 32px;"><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left-color: white; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">3</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">乙醇</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">9</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">喷他脒</span></p></td></tr><tr style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; height: 32px;"><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left-color: white; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">4</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">利可君</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">10</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">a<sub style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important;">2</sub>受体阻断剂</span></p></td></tr><tr style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; height: 43px;"><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left-color: white; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">5</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">对乙酰氨基酚</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">11</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(191, 191, 191); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">磺胺甲恶唑、甲氧苄啶</span></p></td></tr><tr style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; height: 32px;"><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left-color: white; cursor: text; background: rgb(217, 217, 217); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">6</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(217, 217, 217); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">β-肾上腺素受体拮抗剂</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(217, 217, 217); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; text-align: center; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">12</span></p></td><td style="max-inline-size: 100%; margin: 0px; padding: 0px 7px; overflow-wrap: break-word; word-break: break-all; border-top: none; border-right-color: white; border-bottom-color: white; border-left: none; cursor: text; background: rgb(217, 217, 217); box-sizing: border-box !important; outline: none 0px !important;"><p style="max-inline-size: 100%; min-height: 1em; cursor: text; width: auto; height: auto; line-height: 24px; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; line-height: 22.5px; font-size: 15px; color: rgb(0, 0, 0); font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">血管紧张素转化酶抑制剂</span></p></td></tr></tbody></table><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); font-size: 16px; line-height: 1.75em; box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="" style="max-inline-size: 100%; margin: 0px; padding: 0px; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;"><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; font-size: 18px; color: rgb(215, 0, 15);">02 药物引起低血糖的作用机制&nbsp;&nbsp; &nbsp;</span></strong></span></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); line-height: 1.75em; box-sizing: border-box !important; outline: none 0px !important;"><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">1、胰岛素</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">患者漏餐或进行无计划、高强度的体力活动,可导致低血糖。</span></p><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">如果胰岛素使用剂量高于需要剂量,就可能出现低血糖。</span></p><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">与β受体阻滞剂合用,后者可以阻断肾上腺升高血糖和干扰机体调节血糖功能而发生低血糖<sup style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important;">[1]</sup>。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">2、口服降糖药</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">磺酰脲类血浆蛋白结合率高,表观分布容积小,合用水杨酸类、双香豆素类、青霉素等与之竞争结合血浆白蛋白,使之游离型药物增加而引发低血糖。消耗性疾病、黄疸患者使用本类药物更易发生<sup style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important;">[2]</sup>。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">3、乙醇</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">长期或一次性过量饮酒,即可导致肝糖原的枯竭,发生低血糖反应。糖尿病患者饮酒后发生低血糖反应,可能与饮酒后使胰岛素或口服降糖药的降糖作用增加有关<sup style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important;">[3]</sup>。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">4、β-肾上腺素受体拮抗剂</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">可能使末梢组织摄取葡萄糖增加,脂肪分解抑制,游离脂肪酸降低,抑制肝糖原新生有关<sup style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important;">[1]</sup>。与磺酰脲类降糖药联用时,糖尿病患者或非糖尿病患者都可发生低血糖反应。在给哺乳母体使用时,可致新生儿低血糖。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">5、血管紧张素转化酶抑制剂</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">该类药物通过提高缓激肽的水平,从而降低肝内葡萄糖的产生。卡托普利能增强胰岛素的敏感性,常伴有低血糖作用。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">6、奎宁和奎尼丁</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">奎宁诱导的低血糖呈剂量依赖性,而高剂量的硫酸奎宁可以在健康人中导致胰岛素介导的低血糖<sup style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important;">[1]</sup>。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">7、喷他脒</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">随着艾滋病的流行,用喷他脒治疗卡氏肺囊虫肺炎显著增加,该药导致的低血糖通常是复发和严重的,有时可导致不可逆的神经损伤。这是由于胰岛中的溶细胞反应引起的,随着胰岛不断地被破坏,最终发展成胰岛素缺乏和糖尿病<sup style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important;">[1]</sup>。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">8、α<sub>2</sub>受体阻断剂</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">酚妥拉明具有抑制胰岛细胞的α<sub>2</sub>受体,促进胰岛素分泌引起低血糖反应。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">9、对乙酰氨基酚</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">可产生急性肝坏死而导致症状性低血糖。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">10、利可君&nbsp;</span></strong><span style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;; box-sizing: border-box !important; outline: none 0px !important;">&nbsp; &nbsp;</span></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">母亲在怀孕期间服用利可君预防早产而产出的婴儿常见低血糖症,而在母亲本身少见。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">11、水杨酸制剂&nbsp;&nbsp;&nbsp;</span></strong><span style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;; box-sizing: border-box !important; outline: none 0px !important;">&nbsp;</span></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">一般成人单独使用发生较少,与磺酰脲类降糖药合用时易发生低血糖。在肾功能障碍时,代谢产物的活性,水杨酸的排泄发生障碍而引起蓄积,小剂量即可发生低血糖反应。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; cursor: text; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">12、磺胺甲恶唑、甲氧苄啶&nbsp;&nbsp; &nbsp;</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><section class="_135editor" style="max-inline-size: 100%; margin: 0px; padding: 0px; border: 0px none; z-index: 0; text-align: justify; white-space: normal; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important; position: relative !important;"><p style="max-inline-size: 100%; padding: 0px; min-height: 1em; cursor: text; box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">它们的结构与磺酰脲类相似,在一些敏感的个体中可以提高胰岛素释放而导致低血糖症状。</span></p></section><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><strong style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">解救方法</span></strong></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">对于轻度低血糖可以采取口服葡萄糖或含糖食物。建议糖尿病患者随身携带含糖食品;<br/></span></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">对严重低血糖,在患者已丧失意识的情况下,必须由专业人员给患者肌内或皮下注射高血糖素(0.5-1.0mg),或给予葡萄糖静脉注射。如果患者10-15分钟内,对高糖素无反应,立即给予葡萄糖静脉注射。患者意识恢复后,建议口服碳水化合物以免复发。</span></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><br/></p><p style="max-inline-size: 100%; padding: 0px; white-space: normal; min-height: 1em; cursor: text; text-align: justify; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); box-sizing: border-box !important; outline: none 0px !important;"><span style="max-inline-size: 100%; margin: 0px; padding: 0px; box-sizing: border-box !important; outline: none 0px !important; cursor: text; color: rgb(0, 0, 0); font-size: 16px; font-family: 微软雅黑, &quot;Microsoft YaHei&quot;;">虽然严重的低血糖是急诊中少见的情况,但它具有值得注意的致病率和死亡率。药物诱导的低血糖仍然很常见,每个意识丧失的病人都不要忽视低血糖,直至证明是其它的原因。</span></p><p><br/></p><p style="text-align: center;"><img src="https://studioyszimg.yxj.org.cn/17jc0sd711r.png" title="" alt="" style="max-width:100%;"/></p>

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