论文部分内容阅读
患者,男,57岁。因口干、多饮、多尿,多食,体重减轻2月,于1993年2月入院。住院后查尿糖(+),血糖10mmol/L,诊断“糖尿病Ⅱ型”。经优降糖等治疗,空腹血糖降至5.4mmol/L,尿糖阻性,病情稳定出院。本周来患者无明显诱因出现口干,饮水及尿量剧增,每日过水量4000ml,尿量4500～8000ml,遂再次入院。查体:T36.7℃,P80次/min,呼吸20次/min,BP20/13kPa,神志清楚,皮肤经度脱水,心肺(一),肝脾未触及,神经系统(一)。实验室检查:WBC7.0×10~9/L,N82％、L17％,尿比重1.001～1.006,糖及蛋白(-),空腹血糖10mmol/L,尿素氮、肌酐(-)、蝶鞍摄片、头颅CT扫描、心电图、眼科检查
Patient, male, 57 years old. Due to dry mouth, drink more, more urine, more food, weight loss in February, admitted in February 1993. Check in urine (+), blood glucose 10mmol / L, the diagnosis of “type Ⅱ diabetes.” After glyburide and other treatment, fasting blood glucose dropped to 5.4mmol / L, urinary resistance, stable condition and discharged. This week there is no obvious incentive for patients with dry mouth, drinking water and urine volume increased dramatically, the daily amount of water 4000ml, urine output 4500 ~ 8000ml, then re-admission. Physical examination: T36.7 ℃, P80 times / min, breathing 20 times / min, BP20 / 13kPa, conscious, skin longitude dehydration, cardiopulmonary (a), liver and spleen not touched, the nervous system (a). Laboratory tests: WBC 7.0 × 10-9 / L, N82%, L17%, urine specific gravity 1.001-1.006, glucose and protein (-), fasting blood glucose 10mmol / L, urea nitrogen, creatinine Film, head CT scan, electrocardiogram, eye examination