患者 ,女 ,6 2岁 ,因“头昏、无力反复 8ａ ,伴无痛性腹泻 1月”入院。既往有糖尿病史 8ａ ,发病初有“三多”症状 ,伴头昏、乏力 ,曾服降糖灵、二甲双胍治疗 ,口渴多饮 ,多尿减轻 ,无多食现象 ,空腹血糖在 15ｍｍｏｌ/ｌ左右。 1998年初出现视物模糊 ,食欲不振 ,大便干结 ,头 Patient, female, 6 2 years old, admitted to hospital due to “dizziness, inability to repeat 8a, with painless diarrhea in January.” Past history of diabetes 8a, early onset of “more than three” symptoms, with dizziness, fatigue, had taken hypoglycemic, metformin treatment, thirst and more drink, reduce the urine, no more food phenomenon, fasting blood glucose at 15mmol / l or so. Early in 1998 blurred vision, loss of appetite, stool dry end, head