病历摘要患者男,93岁。因乏力、精神差、食欲下降2周,于2002年6月17日入院。既往史:1978年诊断冠心病,1998年诊断高血压,2002年3月曾因不稳定性心绞痛住院.行经腔经皮冠状动脉血管成形术(PTCA)及支架植入术。1978年发现糖耐量异常,1986年诊断2型糖尿病,以后相继诊断糖尿病视网膜病变、周围神经病变、糖尿病肾病,并出现肾功能不全,有高脂血症、胆囊结石史。入院查体:体 Summary of patient history Male, 93 years old. Due to weakness, poor spirits, loss of appetite for 2 weeks, on June 17, 2002 admission. Past history: Coronary heart disease was diagnosed in 1978, hypertension was diagnosed in 1998, and hospitalizations for unstable angina were performed in March 2002. Percutaneous transluminal coronary angioplasty (PTCA) and stent implantation were performed. In 1978 found that impaired glucose tolerance, diagnosis of type 2 diabetes in 1986, after the diagnosis of diabetic retinopathy, peripheral neuropathy, diabetic nephropathy, and renal insufficiency, with hyperlipidemia, gallstone history. Admission examination: body