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患者男,69岁。于2000年1月诊为糖尿病Ⅱ型,未治疗,近2月因心悸就诊。门诊查空腹血糖335mg/dl,ECG:频发室早。诊为“糖尿病Ⅱ型”,“心律失常—室早”,给予达美康、二甲双胍及普罗帕酮(心律平)150mg tid口服。治疗40天,症状缓解。但近20天出现恶心、厌食症状,发现转氨酶升高而停用所有药物。停药后食欲好转,未监测血糖及肝功能,为进一步诊
Male patient, 69 years old. In January 2000 diagnosed as type Ⅱ diabetes, untreated, nearly 2 months due to palpitations. Outpatient check fasting blood glucose 335mg / dl, ECG: frequent room early. The diagnosis of “type Ⅱ diabetes”, “arrhythmia - room early”, given to the United States and Canada, metformin and propafenone (rhythm) 150mg tid oral. Treatment for 40 days, the symptoms relieved. However, nearly 20 days nausea, anorexia, aminotransferases were found to be elevated and disable all drugs. After stopping the appetite improved, not monitoring blood glucose and liver function, for further diagnosis