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男,66岁。因多饮、多尿,体重减轻二个月,于1982年4月19日入院。患者曾于1972年患高血压病,经常头晕眼花,间有耳鸣、四肢麻木感。近二个月来有多饮,每天喝水7000ml,多尿,体重减轻,疲乏无力,胃纳一般,大便如常。以糖尿病.高血压住院。过去史与家族史无特殊。体查:体温3 6.6℃,脉搏82次,呼吸16次,血压146/100,神清,体型肥胖,皮肤巩膜无黄染,皮下无出血点,浅表淋巴结未能触及。颈软,甲状腺不大,胸廓对称,双肺呼吸音粗糙。心率82次,心律整,A_2>P_2,心尖SMⅡ。腹软,肝脾未触及,未触及包块,四肢活动自如,膝反射存在,未引出病理神经反射。实验室检查:血红蛋白14.5g,红细胞500万,白
Male, 66 years old. Due to drink more, more urine, weight loss two months, in April 19, 1982 admission. Patients with hypertension in 1972, often dizziness, tinnitus, limb numbness. Drink more water in the past two months, every day to drink 7000ml, polyuria, weight loss, fatigue, weak appetite, general appetite, stool as usual. To diabetes. Hypertension hospitalization. Past history and family history is no special. Physical examination: body temperature 3 6.6 ℃, pulse 82 times, breathing 16 times, blood pressure 146/100, Shen Qing, body fat, scleral no yellow dye, no bleeding under the skin, superficial lymph nodes failed to reach. Soft neck, thyroid is not large, symmetrical thoracic, lung breath sounds rough. Heart rate 82 times, heart rhythm, A_2> P_2, apical SM Ⅱ. Abdominal soft, liver and spleen not touched, did not touch the mass, limbs freely, knee reflex exists, did not lead to pathological reflex. Laboratory tests: hemoglobin 14.5g, 500000 erythrocytes, white