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患者男性.54岁,已婚,工人,住院号29366。因多饮、多尿、渐消瘦半年于1982年3月17日入院。患者于81年9月份起觉口干,烦渴、每日饮水二并(五磅热水瓶)以上,气候变冷亦不减。尿多,有时夜间每隔1—2小时解尿一次。无尿急尿痛,大便如常。日食米饭一斤二两左右,无明显饥饿感,但渐消瘦。今年二月在某院检查,诊断为“糖尿病”。口服降糖药(药名不详),控制饮食日八两左右,尿糖仍持续阳性,烦渴未得缓解而入院。发病前体健,无家族史。入院检查:血压170/90mmHg,发育正常,营养中等。头颅、心肺、腹部、四肢、脊柱、腱反射均未发现异常。血糖240毫克％.尿糖(++)。Chl20毫克％,TG58毫克％,眼底检查未见异常改变,心电图正常,胸片提示心肺无异常。拟诊“糖尿病”,经用D860(0.5 Tid),降糖灵(50mg Tid)及控
Patient male. 54 years old, married, worker, hospital number 29366. Due to drink more, more urine, weight loss six months on March 17, 1982 admission. The patient developed dry mouth and thirst in September of 2001. He was drinking more water (five pounds of thermos) a day, and the weather became cooler. Urine and more, sometimes every night 1-2 hours of urine. Urinary urgency without pain, stool as usual. Eclipse pound twenty-two or so, no obvious hunger, but gradually thinner. In a hospital inspection in February this year, the diagnosis of “diabetes.” Oral hypoglycemic agents (drug name unknown), control of diet eighty-two or so, urine continues to be positive, polydipsia was relieved and admitted to hospital. Pre-onset health, no family history. Admission examination: blood pressure 170 / 90mmHg, normal development, moderate nutrition. Head, heart and lungs, abdomen, limbs, spine, tendon reflex were found no abnormalities. Glucose 240 mg%. Urine sugar (++). Chl20 mg%, TG58 mg%, fundus examination showed no abnormal changes, normal ECG, chest X-ray showed no abnormalities. The proposed diagnosis of “diabetes”, by D860 (0.5 Tid), hypoglycemic (50mg Tid) and control