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患者男性,54岁,干部。近四个月来无任何诱因反复出现饥饿感伴大汗、心慌、焦虑、紧张,视物模糊,呼吸急促,脸色苍白,手抖;神志始终清楚,无抽搐。进食或静脉推注50%葡萄糖液后,症状迅速缓解如常。发作与进食否无关,无一定规律可循。病初发作较稀疏,约3～7天一次;后逐渐频发,约1～2小时发作一次。体检:体温、脉搏、呼吸及血压均正常范围。一般情况良好,肥胖,心肺无异常。腹膨隆,腹水征阳性。肝肋下5cm,质硬,表面不平,触痛明显,脾不大。余无特殊。
Male patient, 54 years old, cadre. Nearly four months without any incentive repeated hunger with sweating, palpitation, anxiety, nervousness, blurred vision, shortness of breath, pale, trembling; conscious always clear, no convulsions. After eating or intravenous injection of 50% glucose solution, the symptoms quickly ease as usual. Attacks have nothing to do with eating, no certain rules to follow. Early onset of disease is more sparse, about once every 3 to 7 days; gradually after the onset of attack about 1 to 2 hours. Physical examination: body temperature, pulse, respiration and blood pressure are normal range. Generally good, obesity, no abnormal heart and lung. Abdominal bulge, ascites sign positive. Liver ribs 5cm, hard, uneven surface, obvious tenderness, spleen is not large. I no special.