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患儿男性,13岁。多饮多尿8年,因昏迷35小时于1982年10月7日入院。8年前家长发现患儿多饮多尿,未介意。5天前腹部不适,恶心,呕吐,日1～2次,无腹泻,于两天前住某院,按“急性胃肠炎”治疗。58小时内静输10％葡萄糖2.750毫升,生理盐水2.750毫升,5％碳酸氢钠650毫升,氯化钾59毫升(近于等渗液),病情加重。35小时前出现昏迷(查尿糖++++)即转我院。查体:T35.9℃,P136次/分,R 32次/分,Bp100/70mmHg,显著消瘦,呼之不应,呈浅昏迷。皮肤干而粗糙,唇干舌皱,苔黑
Children with children, 13 years old. Drink more urine for 8 years, due to coma 35 hours on October 7, 1982 admission. 8 years ago, parents found that children drink more urine, did not mind. 5 days ago abdominal discomfort, nausea, vomiting, day 1 or 2 times, no diarrhea, two days ago to live in a hospital, according to “acute gastroenteritis” treatment. Within 58 hours of intravenous infusion of 10% glucose 2.750 ml, saline 2.750 ml, 5% sodium bicarbonate 650 ml, potassium chloride 59 ml (near the exudate), aggravating. 35 hours ago coma (check urine ++++) turn to our hospital. Physical examination: T35.9 ℃, P136 times / min, R 32 beats / min, Bp100 / 70mmHg, significant weight loss, call should not, was shallow coma. Dry and rough skin, dry lips and wrinkles, moss black