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患者:女,37岁。因头痛,肥胖2年,于1983年8月4日入院。1981年初以来持续性头痛,发作性加剧,伴有视物不清、恶心,体重逐渐增加,明显肥胖,腋毛增多,焦虑不安,多次就诊各医院,诊为“高血压病”,“肥胖症”。月经史15(3-5)╱30,现月经不调。查体:体温36.4℃,脉搏84次,血压18.7/13.3kPa(140/100mmHg)。发育正常,神志清楚。呈向心性肥胖,体重85.5kg,身高167cm。腋毛增多,汗毛粗大。颅型正常,面如满月。心肺正常。腹平软,肝
Patient: Female, 37 years old. Due to headache, obesity 2 years, on August 4, 1983 admission. Continued headache since the beginning of 1981, exacerbations, accompanied by blurred vision, nausea, weight gradually increased, Obesity, increased armpit hair, anxiety, multiple visits to hospitals, diagnosed as “hypertension”, “obesity ”. Menstrual history 15 (3-5) ╱ 30, is irregular menstruation. Physical examination: body temperature 36.4 ℃, pulse 84 times, blood pressure 18.7 / 13.3kPa (140 / 100mmHg). Normal development, conscious. Centripetal obesity, weight 85.5kg, height 167cm. Increased armpit hair, coarse hairs. Normal skull, face, such as full moon. Cardiopulmonary normal. Abdomen soft, liver