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1病历资料患者男,30岁。主因发热3 d,多饮、多尿1 d,于2010-04-13入院。入院3 d前无明显诱因感发热,体温波动于38~40℃,伴上腹阵发性钝痛,放射至左腰部,无咳嗽、咳痰、胸闷、胸痛、尿频、尿急、尿痛等症状,在我院门诊给予抗炎和降温对症处理(具体不详),上述症状好转。患者于入院1 d前感多饮、多尿,日饮水3000~4000 mL,日尿量3000 mL左右,日尿5~6次,夜尿4~5次,无毛发增多、皮肤紫纹、心悸、手抖、怕热、多汗等症状,于2010-04-13中午无明显诱因突感恶心、呕吐,呕吐物为咖啡样物质,量
Patient information Male patient, 30 years old. Mainly due to fever 3 d, drink more, urine 1 d, admitted to the hospital on April 13, 2010. 3 days before admission, no obvious incentive to feel fever, body temperature fluctuations at 38 ~ 40 ℃, accompanied by abdominal paroxysmal dull pain, radiation to the left waist, no cough, sputum, chest tightness, chest pain, urinary frequency, urgency, dysuria, etc. Symptoms, given in our hospital anti-inflammatory and cooling symptomatic treatment (specifically unknown), the above symptoms improved. Patients drank 1 d before admission, polyuria, Japanese drinking water 3000 ~ 4000 mL, daily urine output of about 3000 mL, 5 to 6 times daily urine, nocturia 4 to 5 times, no hair growth, skin purple lines, heart palpitations , Hand trembling, fearing heat, hyperhidrosis and other symptoms, at noon on April 13, 2010 no obvious incentive for sudden nausea, vomiting, vomit for the coffee-like substance, the amount of