论文部分内容阅读
中、老年糖尿病患者约有2/3缺乏典型症状,容易造成误诊,现将我院误诊的10例糖尿病分析如下。1.误诊为视网膜炎及白内障2例:如-31岁女性患者,突发双目视腺,头晕1天。查体见双眼底视网膜片状出血,视乳头苍白,视力0.1,血压为16/12kPa,体温37℃,心肺正常,肝脾不大,双下肢水肿Ⅰ°,诊为风湿性视网膜炎并出血。给予抗菌药,抗风湿药、维生素、激素等治疗无效。后知其父因糖尿病病故。查尿糖~(++++),尿蛋白~(+++),血糖26.6mmol/L,确诊为糖尿病并动脉硬化,视网膜
About 2/3 of elderly and middle-aged diabetic patients lack typical symptoms and are likely to cause misdiagnosis. The 10 cases of diabetes mellitus misdiagnosed in our hospital are analyzed as follows. 1. Misdiagnosed as retinitis and cataract in 2 cases: such as -31-year-old female patients, sudden double vision glands, dizziness 1 day. Check see the retina retinal hemorrhage, visual papilla pale, visual acuity 0.1, blood pressure 16 / 12kPa, body temperature 37 ℃, normal heart and lungs, liver and spleen, lower extremity edema Ⅰ °, diagnosed with rheumatic retinitis and bleeding. Given antibacterial drugs, anti-rheumatic drugs, vitamins, hormones and other treatment is invalid. After knowing his father died of diabetes. Check the urine ~ (++++), urinary protein ~ (+++), blood glucose 26.6mmol / L, diagnosed with diabetes and atherosclerosis, the retina