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患者男,34岁。因口渴、多饮多尿1年,易饥、乏力、阵发性心悸、头晕、消瘦2个月入院。当时查尿糖卅,空腹血糖11.5mmol/L,血K~+3.5mmol/L,以糖尿病收入院。既往无头痛及糖尿病、高血压病史。否认有家族遗传史。查体:T36.8℃,P110次/分,R20次/分,BP18.7/9kPa,消瘦体型,神志清,浅表淋巴结及甲状腺未触及。肝脾未触及,肾区无叩痛。实验室检查:Hb133g/L,WBC11.1×10~9/L,K~+、Na~+、CL~-、血皮质醇8AM、4PM均正常。入院
Male patient, 34 years old. Due to thirst, more than one year of drinking and urination, easy hunger, fatigue, paroxysmal palpitations, dizziness, weight loss admitted to hospital for 2 months. At that time, the urine sugar glycosides, fasting blood glucose 11.5mmol / L, blood K ~ +3.5mmol / L, with diabetes income hospital. There was no history of headaches, diabetes, or hypertension. Denies family history. Physical examination: T36.8°C, P110 beats/min, R20 beats/min, BP18.7/9kPa, weight loss, clear mind, superficial lymph nodes and thyroid gland are not touched. The liver and spleen were not touched, and the kidney area did not have any pain. Laboratory tests: Hb133g/L, WBC11.1×10~9/L, K~+, Na~+, CL~-, blood cortisol 8AM, 4PM were all normal. Admission