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病史摘要 患者,男,52岁。因多次多尿11年,慢性腹泻2年,发作性意识障碍伴尿潴留1个月于1985年4月11日急诊入院。11年前,出现烦渴,多饮、多尿、乏力。一年后,因“大叶性肺炎”住院。测空腹血糖1998μmol/L(306mg.dl),尿糖++++,诊断为“糖尿病”,并给予正规胰岛素(RI)40u/d治疗1个月后,RI用量逐渐减至20u/d,尿糖转阴,血糖正常,改用D_(860)1.5g/d口服,血糖可维持在825μmol/L(150mg/dl)左右。6年前,感双下肢远端麻木,有时伴针刺样疼痛,间断腹泻,无腹痛,不治也可自愈,
Summary of patient history, male, 52 years old. Due to multiple urination 11 years, 2 years of chronic diarrhea, episodic disturbance of consciousness with urinary retention for 1 month in April 11, 1985 emergency admission. 11 years ago, polydipsia, polydipsia, polyuria, fatigue. A year later, due to “lobar pneumonia” hospitalization. The amount of RI was gradually reduced to 20u / d after one month of treatment with fasting blood glucose of 1998μmol / L (306mg.dl), urine sugar ++++, diagnosed as “diabetes” and regular insulin (40u / d) Urine turn negative, normal blood glucose, switch to D_ (860) 1.5g / d oral, blood glucose can be maintained at 825μmol / L (150mg / dl) or so. Six years ago, the feeling of distal lower limb numbness, sometimes with acupuncture-like pain, intermittent diarrhea, no abdominal pain, no cure can also be self-healing,