患者,男性,年龄58岁,住院号178626,因间歇发热5天于1981年4月22日入院。发病中有多次间歇性寒战高热.体温达40℃,约数小时后热骤退,病者顿感轻松,间歇期无不适感。曾来院急诊,查白细胞计数6,300/立方毫米,中性粒细胞79%,血糖359毫克%,尿酮+++,二氧化碳结合力34.7容积%。以往有糖尿病史8年,有多次“心绞痛”发作史。体检:体温37.4℃,脉搏84次/分,血压120/80毫米汞柱,神志清,一般情况尚可,皮肤粘膜无异常,心肺(一),肝上界在第五肋间,肋下、剑突下未及,脾未及.实验室检查:白细胞11,000～24,000/立方毫米,中性粒细胞80～90%,红细胞270～360万/立方毫米,血红蛋白8.1～10.4克%,尿糖+++～++++,尿酮+～+++,血糖120～488毫克%,血酮±～+,二氧化碳结合 The patient, male, aged 58 years and hospital number 178626, was admitted to hospital on April 22, 1981 due to intermittent fever five days. There are several episodes of intermittent chills high fever body temperature up to 40 ℃, about a few hours after the heat recoil, the patient feeling relaxed, intermittent no discomfort. Have to hospital emergency, check the white blood cell count 6,300 / cubic millimeter, 79% of neutrophils, blood glucose 359 mg%, urinary ketone +++, carbon dioxide binding capacity of 34.7% by volume. In the past there is a history of diabetes 8 years, there are many “angina” episode history. Physical examination: body temperature 37.4 ℃, pulse 84 beats / min, blood pressure 120/80 mm Hg, conscious, the general situation is acceptable, no abnormal skin and mucous membranes, cardiopulmonary (a), the upper limit of the liver in the fifth intercostal space, ribs, Laboratory examination: white blood cells 11,000 to 24,000 / cubic mm, 80 to 90% of neutrophils, red blood cells 270 to 3,600,000 / cubic mm, hemoglobin 8.1 to 10.4 grams%, urine sugar + ++ ~ ++++, urinary ketone + ~ +++, blood glucose 120 ~ 488 mg%, blood ketone ± +, carbon dioxide binding