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1 病例介绍病例1 患者,男,28岁,因腰痛、乏力伴多饮、多尿1年余,于1992年2月24日入院,腰痛为持续性酸痛,有四肢麻木,尿量达3000ml/d以上,并有恶心,呕吐,软瘫数次。在某医院以“周期性麻痹”受治疗,查体:体温36.5℃,脉搏90,呼吸22,血压16/8kPa。慢性病容,消瘦,心肺正常,肝、脾、肾未触及,下肢浮肿(-),双上肢肌力Ⅱ级,双下肢肌力Ⅰ级,双膝腱反射减弱。病例2 患者,女,40岁。以全身乏力,口渴,多饮,多尿,消瘦加重2个月,于1992年1月6日入院。近几年来经常有上述症状,并有上腹部不适,恶心,呕吐,腰、腿疼痛,消瘦。曾在某医院按胃病
1 case description Case 1 patients, male, 28 years old, due to low back pain, fatigue associated with drinking more, more than 1 year urine, admitted on February 24, 1992, low back pain was persistent pain numbness, urine output 3000ml / d above, and nausea, vomiting, soft paralysis several times. In a hospital with “periodic paralysis” was treated, physical examination: body temperature 36.5 ℃, pulse 90, breathing 22, blood pressure 16 / 8kPa. Chronic disease, weight loss, normal heart and lung, liver, spleen, kidney untreated, lower extremity edema (-), upper extremity muscle strength Ⅱ, double lower extremity muscle strength Ⅰ, double tendon reflexes. Case 2 patients, female, 40 years old. To body fatigue, thirst, polydipsia, polyuria, weight loss increased 2 months, January 6, 1992 admission. In recent years, often the above symptoms, and abdominal discomfort, nausea, vomiting, waist and leg pain, weight loss. In a hospital according to stomach