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患者,女,42岁。因中上腹持续性绞痛1天、呕吐半天于2005年10月11日入院。腹痛放射至后背部。患者往有“1型糖尿病”史16年,长期应用胰岛素皮下注射治疗。体重明显下降3月,伴怕热、大便增多、心悸1月。入院查体:
Patient, female, 42 years old. Due to persistent abdominal pain in the upper abdomen for 1 day, vomiting half-day admission on October 11, 2005. Abdominal pain radiates to the back. Patients with “type 1 diabetes” history of 16 years, long-term use of insulin subcutaneous injection therapy. Significantly decreased body weight in March, with fear of heat, increased stool, heart palpitations in January. Admission examination: