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作者收治1例无症状型糖尿病酮中毒昏迷病人,现报告如下,供部队军医参考。张某,女,17岁,蒙族,社员。因头痛,无力、纳差、上腹部不适半月余,近3天意识不清,于1981年6月13日下午5时急诊入院。既往健康。检查:体温不升,血压68/40,脉搏64次,呼吸深慢,16次。体质消瘦,嗜睡。双侧瞳孔扩大为6mm,对光反射微弱。颈稍有抵抗,双肺呼吸音清晰,心率68次,节律规整,余无异常。初诊:结核性脑膜炎,中毒性痢疾。化验:白细胞21,000,中性分叶90%,杆状核5%,淋巴细胞5%。血沉1mm/1小时。尿蛋白微量,红细胞2～3个,脓细
The author admitted to a case of asymptomatic diabetic ketoacidosis patients, are as follows, for military medical reference. Zhang, female, 17 years old, Mongolian, members. Due to headache, weakness, anorexia, upper abdominal discomfort more than half a month, nearly 3 days unconsciousness, at 13:00 on June 13, 1981 emergency admission. Past health. Check: body temperature does not rise, blood pressure 68/40, pulse 64 times, breathing slowly, 16 times. Physique weight loss, lethargy. Both pupils dilated to 6 mm, weakly reflecting light. Neck slightly resistant, clear breath sounds of the lungs, heart rate 68 times, regular rhythm, I no exception. New diagnosis: tuberculous meningitis, toxic dysentery. Laboratory: WBC 21,000, neutral leaves 90%, 5% of the rod-shaped nuclei, lymphocytes 5%. ESR 1mm / 1 hour. Trace proteinuria, red blood cells 2 to 3, pus fine