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患者男,23岁,农民,因消渴、多尿、体重减轻2个多月于1980年1月12日入院。入院时血压120/80,神志清,呼吸顺,消瘦。心肺(-),肝脾未扪及。尿糖(++++),空腹血糖330毫克%,胸透心肺(-)。入院后予普通胰岛素皮下注射,一天三次,每次16单位。当天晚上,病人出现左前胸痛,翌晨发现胸膜摩擦音,疑“急性胸膜炎”。予静脉滴注青霉素240万单位/天,地塞米松10毫克/天,继续皮下注射普通胰
Male patient, 23 years old, farmer, due to diabetes, polyuria, weight loss more than 2 months admitted January 12, 1980. Admission of blood pressure 120/80, clear consciousness, respiratory Shun, weight loss. Cardiopulmonary (-), liver and spleen not palpable. Urine (++++), fasting blood sugar 330 mg%, chest through cardiopulmonary (-). After admission to the general insulin subcutaneous injection three times a day, each 16 units. The same night, the patient had left anterior chest pain, the next morning found pleural friction, suspected “acute pleurisy.” To intravenous penicillin 240 million units / day, dexamethasone 10 mg / day, continue to subcutaneous injection of ordinary pancreas