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患者女性,55岁,于1991年2月26日因多饮、多尿、频繁呕吐1周,加重3天并昏迷而入院。既往有糖尿病多年。查体:意识不清,消瘦,脱水外观,体温36.6℃,脉搏76次/分,血压16.0/9.3kPa,呼吸25次/分,皮肤干燥,弹性差。心肺正常。腹软,肝脾不肿大,胸透无异常改变。肝胆B超均正常。血常规:红细胞为4.0×10~9/L,白细胞16.6×10~9/L。尿常
Female, 55 years old, was admitted to hospital on February 26, 1991 due to multiple drinking, polyuria, frequent vomiting for 1 week, aggravating for 3 days and being in a coma. Past years of diabetes. Examination: Consciousness, weight loss, dehydration appearance, body temperature 36.6 ℃, pulse 76 beats / min, blood pressure 16.0 / 9.3kPa, breathing 25 beats / min, dry skin, poor elasticity. Cardiopulmonary normal. Abdominal soft, liver and spleen is not enlarged, no abnormal chest X-ray changes. Hepatobiliary B-normal. Blood: erythrocytes 4.0 × 10 ~ 9 / L, white blood cells 16.6 × 10 ~ 9 / L. Urine often