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1病历摘要男,59岁,因反复腹痛8a,多饮、多尿、多食、消瘦0.5a,呕吐2个月入院。其间疼痛多因进食油腻食物引起,呈胀痛或绞痛,无放射痛,曾在外院诊断为胆管结石,予抗菌、对症治疗可好转,0.5a前查血糖23mmol/L,诊断为1型糖尿病,予诺和灵30R治疗,未监测血糖,近0.5a体重减轻25kg。查体:消瘦,慢性病容,皮肤、巩膜无黄染,全身浅表淋巴结无肿大,
A medical summary male, 59 years old, due to repeated abdominal pain 8a, drink more, polyuria, eat more, weight loss 0.5a, vomiting 2 months admitted. In the meantime, the pain was mostly caused by eating oily food. The pain was painful or colic. There was no radiating pain. It was diagnosed as bile duct stones in the outpatient hospital. Antibiotics and symptomatic treatment could be improved. Blood glucose was measured at 23mmol / L before 0.5a and diagnosed as type 1 diabetes , Connaught and Spirit 30R treatment, no monitoring of blood glucose, weight loss in the past 0.5a 25kg. Physical examination: weight loss, chronic disease, skin, sclera no yellow dye, systemic superficial lymph nodes without swelling,