低血糖発作を繰り返す反応性低血糖症症例の2度の妊娠管理に関する報告
雑誌掲載版耐糖能異常合併妊娠では妊娠中の厳格な血糖コントロールにおいて、血糖値の目標下限値は70mg/dlとされているが、低血糖が母児へ与える影響については不明な点が多い。動物実験では妊娠初期の低血糖が胎児奇形や発育遅滞に影響するといった報告もある。今回われわれは、非妊娠時より低血糖発作を繰り返した症例で、2度の妊娠管理を経験した。症例は19歳ごろより空腹時の脱力感を自覚し、21歳で随時血糖値24mg/dlの低血糖発作を発見され、2007年1月当科紹介初診。低血糖の入院精査にて ...
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