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患者女,29岁,患糖尿病8年.1个月前发现下腹部肿物,尿量正常.以糖尿病,卵巢囊肿收入院.查体:消瘦,皮肤干燥,两眼凹陷,呈轻度脱水状,心肺无异常所见,腹部膨隆,无压痛,肝脾未触及.下腹部可触及一包块,表面光滑,界限清,上界脐下二横指,活动性差.血糖14mmol/L,尿糖(++++),尿酮体阴性,B超提示:卵巢囊肿,请妇科会诊排除妇科病患,经导尿3500ml后肿块消失,最后诊断为糖尿病并发慢性尿潴留.
Female patient, 29 years old, suffering from diabetes for 8 years .1 months ago, found lower abdominal mass, normal urine output to diabetes, ovarian cysts hospital. Physical examination: weight loss, dry skin, eyes hollow, mild dehydration , Heart and lung no abnormal findings, abdomen bulging, no tenderness, liver and spleen not touched.The lower abdomen can reach a mass, the surface is smooth, clear boundaries, the upper border of the two fingers under the umbilical, poor activity .Gasaccharide 14mmol / L, urine (++++), urine ketone body negative, B-ultrasound Tip: ovarian cysts, gynecological consultation please exclude gynecological patients, the catheter disappeared after the catheterization 3500ml, the final diagnosis of diabetes complicated by chronic urinary retention.