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患者男,35岁,因脸肿胖、乏力、多饮多食2月,多次检查,未能确诊。对症治疗无效,1月后出现咳嗽,咳少量血痰,伴双膝关节疼痛,1988年9月17日来诊,胸片显示右肺下叶类圆形肿块,疑诊肺癌,拟行手术切除,因伴有低钾血症、糖尿病不能手术治疗而转入本科。体检满月脸、水牛背,蜘蛛腿,脸面黑红,胡须多密,脸部布满痤疮,身体呈向心性肥胖且多毛,腹部呈球形隆起并可见数条紫色皮纹,双下肢Ⅱ°水肿。实验室检查 K~+2.3mEq/L,血糖89mg％,CO_2-CP79％,尿糖++++,血气,pH7.49,代碱并低氧血症;T_30.9ng％,T_474ng％,因本院条
The patient was a 35-year-old man with a bumpy face, fatigue, and more than 2 months of drinking and eating multiple times. He had not been diagnosed. Symptomatic treatment was ineffective. There was a cough after January, a small amount of blood stasis, and pain in both knee joints. He came to the clinic on September 17, 1988. The chest radiograph showed a round mass in the lower lobe of the right lung. He was suspected of having lung cancer and was scheduled to undergo surgical resection. Due to hypokalemia, diabetes can not be treated and transferred to the undergraduate. Physical examination full moon face, buffalo back, spider legs, face black and red, more beard dense, face full of acne, the body was centripetal obesity and hairy, abdomen was spherical uplift and visible a few purple striae, lower extremities II ° edema. Laboratory examination of K~+2.3mEq/L, blood glucose 89mg%, CO_2-CP79%, urine +++++, blood gas, pH7.49, hypokalemia with surrogate base; T_30.9ng%, T_474ng%, cause The hospital