患者男,62岁,反复关节红、肿、痛18年,多饮、多尿1个月,昏迷3天于1990年12月11日入院。18年来,双足第1蹠趾、左踝、左肘等关节非对称红肿疼痛,每年发作数次,诊断为“类风湿性关节炎”,服用地塞米松、保泰松症状能缓解。1月前患者有多饮、多尿且食欲增加,只因体重未减,未予重视。半月前,多饮、多尿症状加重,并感下肢无力、走路不稳、四肢麻木、关节疼痛,自认为血压增高,自服复方降压片、复方丹参片、地塞米松,症状未见好转。头晕、视物模糊、精神软弱、嗜睡,于6天前去当地中医院就诊,测血压12/8kPa,测尿糖阴性,血糖不详,心电图示冠脉供血 Male patient, 62 years old, repeatedly joint red, swollen, pain for 18 years, drink more, more urine for 1 month, coma 3 days in December 11, 1990 admission. 18 years, the first metatarsophalangeal metatarsal foot, left ankle, left elbow and other joints asymmetric swelling and pain, attack several times a year, diagnosed as “rheumatoid arthritis”, taking dexamethasone, phenylbutazone symptoms can be alleviated. 1 month ago, patients have more drinks, more urine and increased appetite, only because weight is not reduced, no attention. Half a month ago, drink more, polyuria symptoms aggravated, and sense of lower limb weakness, walking instability, limb numbness, joint pain, self-assertive hypertension, self-service compound antihypertensive tablets, compound Danshen tablets, dexamethasone, the symptoms did not improve . Dizziness, blurred vision, weakness, drowsiness, to the local Chinese medicine hospital 6 days before treatment, measuring blood pressure 12 / 8kPa, measured urine negative, blood glucose is unknown, ECG shows coronary blood supply