患者女,41岁,发现糖尿病10年,合并尿路感染于1985年元月11日入院。至31日,患者诉心慌、胸闷、全身麻木,肢体活动不能。检查:心牢100次,奔马律。四肢肌力Ⅰ级,腱反射消失。心电图示室内传导阻滞。查血糖676mg/dl,血钾6.8mEq/L,血钠127.9mEq/L,给予胰岛素4单位加入生理盐水100ml以及生理盐水1,000ml分别由两根静脉同时滴注,症状迅速缓解,奔马律消失,肌力、腱反射、心电图及血钾、血钠、 Female patient, 41 years old, found diabetes for 10 years, with urinary tract infection in January 1985 January 11 admission. To 31, patients complain of panic, chest tightness, numbness, physical activity can not. Check: heart prison 100 times, galloping law. Limb muscle strength Ⅰ, tendon reflex disappeared. ECG Indoors conduction block. Blood glucose 676mg / dl, serum potassium 6.8mEq / L, serum sodium 127.9mEq / L, to give 4 units of insulin added to 100ml of normal saline and normal saline 1,000ml respectively by two intravenous drip, the symptoms quickly eased, galloping disappear , Muscle strength, tendon reflex, electrocardiogram and serum potassium, serum sodium,