https://scholars.lib.ntu.edu.tw/handle/123456789/525722
標題: | Persistent hyperinsulinemic hypoglycemia due to nesidiodysplasia in a neonate | 作者: | LUAN-YIN CHANG WEN-YU TSAI Huang S.-F. Yau K.-I.T. Li Y.-W. Chen C.-C. |
關鍵字: | hyperinsulinism; neonatal hypoglycemia; nesidiodysplasia | 公開日期: | 1994 | 卷: | 93 | 期: | 2 | 起(迄)頁: | 160-163 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | A large, one-hour-old female baby was noted to have hypoglycemia immediately after birth. Although early feeding and then intravenous glucose infusion with a dose gradually increased to 30 mg/kg/min were given, the baby still had recurrent hypoglycemia 14 days after birth. High serum insulin/glucose ratios (>2.5) were noted twice during hypoglycemic episodes. At the same time, the baby's serum growth hormone, thyroid hormone and cortisol levels were within normal ranges. Hyperinsulinism due to nesidiodysplasia was diagnosed and a near-total pancreatectomy was performed at the age of 14 days. After the operation, euglycemia was achieved and there was no episode of hypoglycemia even after fasting for eight hours. Our experience confirms that surgery is the treatment of choice for patients, including neonates, with hyperinsulinemic hypoglycemia. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0028316475&partnerID=40&md5=29928347dbfdbced0e08e7a0184ac7d3 https://scholars.lib.ntu.edu.tw/handle/123456789/525722 |
ISSN: | 0929-6646 | SDG/關鍵字: | diazoxide; glucose; article; case report; female; human; hyperinsulinism; hypoglycemia; insulinoma; intravenous drug administration; newborn; newborn disease; pancreas resection; Case Report; Female; Human; Hyperinsulinism; Hypoglycemia; Infant, Newborn; Islets of Langerhans; Pancreatectomy |
顯示於: | 醫學系 |
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