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患者,男,49岁,曾患慢性肾炎20余年,头昏乏力,面色苍白,8个月,呕吐2周,以“尿毒症“收入院.曾有尿糖阳性,血糖正常,一、在家服糖尿乐时曾一度出现意识不清,经静脉推注50%葡萄糖后缓解.查体:中度贫血貌双眼睑轻度浮肿,双肾区叩击痛(+),双下肢轻度浮肿.血红蛋白70g/L,红细胞2.81×10~(12)/L,白细胞8.1×10~9/L;尿蛋白(++),红细胞3～5/HP.白细胞0～3/HP,尿糖(+++),尿酮体(-):血糖9.9mmol/L,BUN 22.5mmol/L CO_2-CP1.5。
Patients, male, 49 years old, had chronic nephritis more than 20 years, dizzy and fatigued, pale, 8 months, vomiting for 2 weeks to “uremia” income hospital. Have had positive urine glucose, normal blood glucose, Urinary tract music once appeared unconscious, after intravenous bolus 50% glucose relief.Check the body: moderate edema double eyelid mild edema, perineal area percussion pain (+), lower extremity mild edema .Heoglobin 70g / L, erythrocyte 2.81 × 10-12 / L, leucocyte 8.1 × 10-9 / L, urinary protein (++), erythrocyte 3-5 / HP, leukocyte 0-3 / HP, +), Urinary ketone (-): blood glucose 9.9mmol / L, BUN 22.5mmol / L CO_2-CP1.5.