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1 病历摘要郑×,男,59岁,农民.因烦渴、多饮、多尿3个月,昏迷2小时入院.病人于3个月前无明显诱因出现烦渴、多饮、多尿,口尿量由5L渐增至8L左右,尿色正常.口干、无汗、失眠、头痛.体力下降,体重无改变,食欲正常,便秘.5天前到某县医院就诊,未作实验室检查,诊为“糖尿病”,带药“优降糖”回家治疗,开始每天1次,每次5mg,服后即觉乏力、出汗,进食后缓解.住院前当天服了10mg,服完后约20分钟,出现大汗淋漓、眩晕、复视、神志恍惚、烦躁,逐渐进入昏迷状态,在家观察2小时无清醒,急入院诊治.
Summary of medical records Zheng ×, male, 59 years old, farmer.For the polydipsia, polydipsia, polyuria for 3 months, coma 2 hours admitted to the hospital.Patients in 3 months ago there is no obvious incentive to polydipsia, polydipsia, polyuria, Oral urine volume increased from 5L to about 8L, normal urine color. Dry mouth, no sweat, insomnia, headache. Physical decline, no change in body weight, normal appetite, constipation .5 days ago to a county hospital, without laboratory Check, diagnosed as “Diabetes”, with medicine “glibenclamide” home treatment began once a day, each 5mg, after serving that feel fatigue, sweating, ease after eating.On the day before hospitalization took 10mg, served finished After about 20 minutes, there sweating, dizziness, diplopia, trance, irritability, and gradually into a coma, at home, 2 hours without conscious awake, urgent hospitalization.