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患者女,24岁,因多尿、多饮、多食伴消瘦2年,排尿不畅10日入院。患者自幼生长缓慢,无月经,父母非近亲结婚,家族中无类似病史。体检:身高1.38m,体重40kg,表情呆滞,智力低下,后发际低,有颈蹼,双侧乳房未发育,心肺正常,无腋毛、阴毛。外阴呈幼女型,阴道口外形正常,妇科检查宫体1×1cm,未触及附件,脊柱正常,双肘外翻,双手六指畸形。实验室检查:空腹血糖41.7mmol/L,尿糖++++,尿酮体-,血T_3
Female patient, 24 years old, due to polyuria, drink more food and more weight loss with 2 years, poor urination on the 10th admission. The patient grew slowly, had no menstruation, had non-relatives marrying, and had no similar family history. Physical examination: height 1.38m, weight 40kg, dull expression, mental retardation, low after the hair, webbed web, bilateral breast undeveloped, normal heart and lung, no armpit hair, pubic hair. The genital was young girls, vaginal mouth shape is normal, gynecological examination Palace 1 × 1cm, without touching the attachment, the spine is normal, double elbow valgus, hands six fingers deformity. Laboratory tests: fasting blood glucose 41.7mmol / L, urine sugar ++++, urinary ketone body -, blood T_3