胰岛素瘤的临床表现复杂多样,多表现为低血糖综合症,而长期的低血糖可导致中枢神经系统不可逆性器质性损害,部分患者因伴随精神症状而误诊。本例患者因“嗜睡,猝倒”就诊,现报告如下。1临床资料患者,女,43岁,会计。1年余前可能因工作和生活压力大开始出现睡眠差,主要是入睡困难和早醒。1个月前夜间症状加重,易出汗,日间在下午4~6点出现不可抗拒的睡意,多次突发跌倒,有时是在路上行走时发生。家人 The clinical manifestations of insulinoma are complex and diverse, mostly manifested as hypoglycemia syndrome, and long-term hypoglycemia can lead to irreversible central nervous system damage, some patients were misdiagnosed due to mental symptoms. The patients because of “drowsiness, catapults ” treatment, are as follows. 1 clinical data patients, female, 43 years old, accounting. One year ago may be due to work and life pressure began to appear poor sleep, mainly falling asleep difficulties and early awakening. 1 month ago, the symptoms worsen during the night and sweat easily. During the daytime, irresistible drowsiness occurs at 4 to 6 in the afternoon, and many fall suddenly and sometimes occur while walking on the road. family