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患者男,16岁,因多饮、多尿11年,浮肿7年.加重10天于2000年3月20日入院。患者于6岁始出现烦渴、多饮、多尿.经省儿童医院血糖、尿糖等检查、诊断为Ⅰ型糖尿病,一直采用普通胰岛素治疗至今,但因长期胰岛素用量不足,血糖、尿糖控制不良,生长发育迟缓。7年前开始出现双下肢浮肿,经对症治疗可缓解,4年前因脑梗死在我院住院治疗好转,近10天来因受凉后出现咽部不适、恶心、呕吐在外院用青霉素、先锋 V 等治疗症状有所缓解。但血糖、尿糖控制不佳,尿蛋白(+++).再次入住我院治疗。患者无其他特殊病史。查体:体温36.5℃,脉搏120次/分,呼吸20次/
Male patient, 16 years old, due to drink more, polyuria 11 years, edema for 7 years .Over 10 days in March 20, 2000 admission. Patients at the age of 6 appear polydipsia, polydipsia, polyuria. Provincial Children’s Hospital blood glucose, urine sugar and other tests, diagnosed with type I diabetes, has been treated with normal insulin so far, but due to lack of long-term insulin, blood glucose, urine sugar Poor control, growth retardation. 7 years ago began to appear edema of both lower extremities, the symptomatic treatment can be alleviated, 4 years ago due to cerebral infarction in our hospital hospitalization improved, the past 10 days due to cold pharyngeal discomfort, nausea, vomiting in the hospital with penicillin, vanguard V Other treatment symptoms have eased. However, blood glucose, poor control of urine glucose, urine protein (+++). Once again admitted to our hospital for treatment. Patients with no other special medical history. Physical examination: body temperature 36.5 ℃, pulse 120 beats / min, breathing 20 times /