论文部分内容阅读
本室从1949～1990年间的5084例尸检中发现1例符合Kimmestiel-Wilson综合征,现报告如下。 1 临床资料 病史:男患43岁,因多饮多尿体重减轻13年,头痛恶心呕吐加剧4天入院。3年前出现血压升高,下肢浮肿。既往有肺结核史。查体:BP28.0/16.0kPa,心率90次/min。颜面浮肿,齿槽溢脓,心尖部可闻及二级收缩期杂音,心包摩擦音(+),性质粗糙,传导广泛,呼吸深大,全身进行性高度浮肿,尿少,并出现胸水腹水。化验:血糖34.4mmol/L,7～20mmol/L,NPN 6.8mmol/L,尿蛋白(卅)。 临床诊断:糖尿病,糖尿病肾病
The room from 1949 to 1990, 5084 cases of autopsy found in a case of Kimmestiel-Wilson syndrome, are as follows. 1 clinical data history: male suffering from 43-year-old, due to drink more urine weight loss for 13 years, headache, nausea and vomiting aggravated 4 days admission. 3 years ago, there was an increase in blood pressure and lower extremity edema. Past history of tuberculosis. Physical examination: BP28.0 / 16.0kPa, heart rate 90 beats / min. Face edema, alveolar overflow, apex symphysis and secondary systolic murmur, pericardial friction rub (+), the nature of rough, extensive conduction, deep breathing, systemic high edema, oliguria, and pleural effusion. Assay: Blood glucose 34.4mmol / L, 7 ~ 20mmol / L, NPN 6.8mmol / L, urinary protein (卅). Clinical diagnosis: diabetes, diabetic nephropathy