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患者女,59岁。曾于1987年因多饮、多尿、烦渴经本院门诊诊断为糖尿病Ⅱ型,间断服用优降糖片治疗。此次因恶心伴频繁呕吐,脂餐后症状加重于1989年3月12日急诊入院。体检:意识清醒,中度贫血貌。血压15.96/10.64kPa。心、肺无异常。右上腹可扪及核桃大小之囊性物,压痛(+)。四肢肌张力正常,活动自如,病理反射未引出。实验室检查:血糖12.2mmol/L,尿糖(卅),尿蛋白(+),尿酮体(-)。B型超声波检查提示胆囊炎、胆石症。
Female patient, 59 years old. Had in 1987 due to drink more, more urine, polydipsia diagnosed by our hospital outpatient diabetes type Ⅱ, intermittent use of glyburide treatment. The nausea with frequent vomiting, postprandial symptoms aggravated in March 12, 1989 emergency admission. Physical examination: conscious, moderate anemia appearance. Blood pressure 15.96 / 10.64kPa. Heart, lungs without exception. The right upper quadrant palpable walnut size cystic, tenderness (+). Limb muscle tone normal, freely, pathological reflex did not lead. Laboratory tests: blood glucose 12.2mmol / L, urine sugar (卅), urinary protein (+), urinary ketone body (-). B-mode ultrasound prompts cholecystitis, cholelithiasis.