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1例78岁女性2型糖尿病患者因恶心、呕吐、反酸、腹泻3d,先后静脉滴注注射用奥美拉唑钠20 mg和乳酸左氧氟沙星氯化钠注射液0.3 g。静脉滴注乳酸左氧氟沙星氯化钠注射液约10 min后患者出现大汗、心慌、面色苍白、意识淡漠,即测血糖3.0 mmol/L。暂停静脉滴注乳酸左氧氟沙星氯化钠注射液,给予葡萄糖氯化钠注射液500 ml静脉滴注,并进食糖块、面包,约5 min后症状缓解。恢复静脉滴注乳酸左氧氟沙星氯化钠注射液,约5 min后前述症状复现,即刻血糖为1.9 mmol/L。立即停用乳酸左氧氟沙星氯化钠注射液,静脉推注50%葡萄糖注射液20 ml后继续静脉滴注5%葡萄糖注射液500 ml,约10 min后患者低血糖症状消失,输液结束后血糖升至9.6 mmol/L。
A 78-year-old woman with type 2 diabetes mellitus developed nausea, vomiting, acid reflux and diarrhea for 3d, followed by intravenous infusion of 20 mg omeprazole sodium and 0.3 g levofloxacin sodium chloride injection. About 10 minutes after intravenous infusion of levofloxacin lactate injection in patients with sweating, palpitation, pale, apathetic, that blood glucose 3.0 mmol / L. Suspend intravenous infusion of levofloxacin lactate lactate injection, given 500 ml of glucose sodium chloride injection intravenous infusion, and eating candy, bread, about 5 minutes after the symptoms ease. Recovery of intravenous infusion of levofloxacin lactate sodium injection, about 5 min after the recurrence of the symptoms, immediate blood glucose of 1.9 mmol / L. Immediate withdrawal of levofloxacin lactate injection, intravenous injection of 50% glucose injection 20 ml intravenous infusion of 5% glucose injection 500 ml, about 10 min after the disappearance of symptoms of hypoglycemia, after the infusion of blood glucose rose to 9.6 mmol / L.