论文部分内容阅读
患者,男性,70岁,患糖尿病15年。半月来未继续胰岛素治疗,出现口渴、多饮、多食、多尿。血糖11.8mmol/L,于1990年11月21日入院。6年前诊断:“冠心病”.查体:脉搏64次/分,心肺未见异常,肝脾不大,肾区无叩痛,双下肢无浮肿。化验肝肾功能正常。心电图提示;“前侧壁心肌映血。”诊断;糖尿病、冠心病。经使用普通胰岛素(早晚餐前10分钟皮下注射,剂量分别为12U、8U)及口服降糖药物(优降糖2.5mg、降糖灵25mg 午餐前半小时服用)治疗,病人“三多”症状消失,血糖基本正常。病人出现心绞痛,在行心痛定等治
Patient, male, 70 years old, suffering from diabetes for 15 years. Half a month did not continue insulin treatment, there thirst, drink more, eat more, more urine. Blood sugar 11.8mmol / L, in November 21, 1990 admission. 6 years ago diagnosed: “coronary heart disease.” Physical examination: pulse 64 beats / min, no abnormal heart and lung, liver and spleen is not, no percussion pain in the kidney area, no swelling of both lower extremities. Liver and kidney function tests normal. ECG tips; “front wall myocardial mapping blood.” Diagnosis; diabetes, coronary heart disease. After using ordinary insulin (10 minutes before morning and evening subcutaneously, the dosage was 12U, 8U respectively) and oral hypoglycemic drugs (2.5mg hypoglycemic, 25mg hypoglycemic taking half an hour before lunch), the symptoms of “more than three” disappeared and the blood sugar Basically normal. Angina patients appear in the line of pain and other treatment