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例1男,19岁,因口干、多饮、多尿伴消瘦2个月,纳差,腹胀,明显乏力1周于1987年6月14日入院。体检除轻度脱水貌、腹稍膨隆及移动性浊音阳性外,无其他异常体征。实验室检查:空腹血糖22.7mmol/L,血酮体(+),HbA 0.186,血pH7.36,尿糖655.02mmol/24h、尿酮体(++),X线胸片示双侧胸腔少量积液,二维超声心动图示心包少量积液,腹部声波检查示腹腔中等量积液,腹水检查为漏出液,O.T.试验(-),肌电图示运动神经传导速度减慢,其余检查(包括肝肾功能、血浆蛋白、尿蛋白
Example 1 Male, 19 years old, due to dry mouth, drink more, with urine wasting 2 months, anorexia, bloating, significant fatigue 1 week in June 14, 1987 admitted. Physical examination in addition to mild dehydration appearance, abdominal slightly bulging and mobility dullness positive, no other abnormal signs. Laboratory tests: fasting blood glucose 22.7mmol / L, blood ketone body (+), HbA 0.186, blood pH7.36, urine sugar 655.02mmol / 24h, urinary ketone (++), X-ray showed bilateral pleural effusion , Two-dimensional echocardiography showed a small amount of pericardial effusion, abdominal abdominal ultrasound showed moderate amount of effusion, ascites examination for leakage of liquid, OT test (-), EMG motor nerve conduction velocity slowed, the remaining checks (including liver Renal function, plasma protein, urinary protein