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例1女性,65岁,因发作性气喘10年加重1周,多饮、多尿4年入院。入院检查:白细胞12.6×10~9/L (12,600/mm~3),胸透双肺纹理增强模糊,血糖12.79mmol/L(232.6mg/dl),尿糖(卌),尿酮体微量。诊断为支气管哮喘伴感染、糖尿病Ⅱ型。经抗炎、平喘、饮食控制及口服降糖药等综合治疗后,气喘缓解,但出现双下肢无力,不能行走,站立时有踩棉花感。追问病史,上述症状反覆发作已2年。体检:双下肢肌张力低,肌力Ⅱ级,腓肠肌轻度萎缩,双膝、跟腱反射明显减弱。胸_4平面以下痛、触觉减退,尿意控制不利,病理反射中性。脑脊液:氯化物215mmol/L
Example 1 Female, 65 years old, suffering from episodic asthma 10 years aggravating 1 week, drinking, polyuria 4 years admission. Admission examination: Leukocyte 12.6 × 10 ~ 9 / L (12,600 / mm ~ 3), thoracic enhancement of lung texture blurring, blood glucose 12.79mmol / L (232.6mg / dl), urine sugar (卌), urine ketone body trace. Diagnosis of bronchial asthma with infection, type Ⅱ diabetes. After anti-inflammatory, antiasthmatic, diet control and oral hypoglycemic agents and other comprehensive treatment, asthma relief, but the emergence of weakness in both lower extremities, can not walk, standing stamped on the cotton feel. Asked history, the above symptoms have been repeated attacks 2 years. Physical examination: Lower extremity muscular tension was low, grade Ⅱ muscle, gastrocnemius mild atrophy, knees, Achilles tendon reflex significantly weakened. Chest _4 below the plane pain, touch reduction, urinary control negative, pathological reflex neutral. Cerebrospinal fluid: chloride 215mmol / L