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我院曾收治1例糖尿病人,住院过程中反复发生糖尿病水疱病。此属罕见的糖尿病合并症,其发生可能为糖代谢紊乱,致皮肤神经营养障碍有关。现摘要报导如下。刘××,男性,50岁,干部,住院号12,659。1971年确诊糖尿病。1979年5月21日,因2天前左第三趾碰伤。脚趾化脓感染,畏寒、发热,饮食欠佳,乏力,下肢尤其是足底发麻,下肢浮肿入院。既往饮食控制及胰岛素治疗欠规则,致长期糖尿病得不到控制。体查:T28℃,P106次,BP150/80。慢性病容,心律整,心尖部听到SM_2及S_4。下肢膝关节以下有凹陷性浮肿,膝反射消失。左第三趾溃疡,有脓性分泌物,踝关节以下有红、肿、热、痛。化验:RBC304万,Hb60%,WBC16600,N91%,L8%,M1%,血糖348mg%,NPN39mg%,Co_2CP24.1
In our hospital, one case of diabetes was admitted and diabetic vesicular disease was recurrent during hospitalization. This is a rare complication of diabetes, its occurrence may be related to disorders of glucose metabolism, resulting in skin neurotrophic disorders. The summary is as follows. Liu × ×, male, 50 years old, cadre, hospital number 12, 659. 1971 Diabetes diagnosed. May 21, 1979, because of the second left toe bump 2 days ago. Toe purulent infection, chills, fever, poor diet, fatigue, lower extremities, especially numbness, lower limb edema admitted. Previous dietary control and insulin treatment were under-regulated, causing no control of long-term diabetes. Physical examination: T28 ℃, P106 times, BP150 / 80. Chronic disease, heart rhythm, apical hearing SM_2 and S_4. Below the lower extremity knee have sunken edema, knee reflex disappeared. Left third toe ulcer, purulent secretions, ankle, red, swollen, hot, pain. Laboratory: RBC304 million, Hb60%, WBC16600, N91%, L8%, M1%, blood sugar 348mg%, NPN39mg%, Co_2CP24.1