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1病例资料[例1]患者,女,70岁,以“发现血糖高8年,呕吐纳差、消瘦、乏力3月”为主诉入院,查体:体型偏瘦,精神可,未触及肿大的淋巴结,眼球无突出,甲状腺无肿大,两肺呼吸音清,心界无扩大,心率96次/分,律齐,腹软,全腹未触及包块,无压痛及反跳痛,肝脾未触及,肠鸣音正常。辅助检查:空腹血糖12.0~16.9mmol/L,三餐后2h血糖波动在16.7~24.4mmol/L之间,HbA1c:13.6%;尿常规:
1 case information [Example 1] patients, female, 70 years old, with “found that high blood sugar for 8 years, vomiting anorexia, weight loss, fatigue, March ” as the main complaint hospitalization, physical examination: Swollen lymph nodes, no prominent eye, no thyroid enlargement, lung breath sounds clear, no expansion of the heart, heart rate 96 beats / min, law Qi, abdominal soft, the whole abdomen without touching the mass, no tenderness and rebound tenderness , Liver and spleen not touched, bowel sounds normal. Auxiliary examination: fasting blood glucose 12.0 ~ 16.9mmol / L, after meals 2h blood glucose fluctuations between 16.7 ~ 24.4mmol / L, HbA1c: 13.6%; urine routine: