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女患,36岁.因多饮、多食、多尿、消瘦一年.伴精神抑郁、四肢发作性痉挛1月,于1987年1月12日入院。检查:体温、脉搏、呼吸、血压及心、肺、肝、脾均正常.思维稍迟缓,定向力良好。时见四肢痉挛发作,以左上肢较显著,发作时意识清楚.发作间歇期,深、浅感觉及肌力、肌张力正常。指鼻试验阳性,Romberg试验阴性。Chvostek征、Trousseau征阴性。生理反射正常,锥体束征阴性。眼底及视野检查均无异常。Hb130g/L,WB C8.4×10~9/L,分类正常。空腹血糖18.04mmol/L,血钙2.55mmol/L,血磷1.16mmol/L。
Female, 36 years old, due to drink more, eat more, polyuria, weight loss year with mental depression, extremity seizures in January, January 12, 1987 admitted. Check: body temperature, pulse, respiration, blood pressure and heart, lung, liver and spleen are normal. Slow thinking, good orientation. See the onset of limb spasms, to the more prominent left upper limbs, a clear sense of attack. Intermittent episode, deep, shallow sense and muscle strength, muscle tone normal. Finger nose test positive, Romberg test negative. Chvostek sign, Trousseau sign negative. Physiological reflex, pyramidal tract sign negative. Fundus and visual field examination were normal. Hb130g / L, WB C8.4 × 10 ~ 9 / L, normal classification. Fasting blood glucose 18.04mmol / L, calcium 2.55mmol / L, phosphorus 1.16mmol / L.