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男,58岁,干部,住院号21068。1985年3月7日因昏迷伴四肢抽搐1小时入院。患者平素体健,无泌尿系疾病,无类似病史,无“三多一少”糖尿病症状。但有多饮水,爱饮浓茶,夜尿多习惯。3月4～5日,自服消渴丸,每次10丸、每日3次共6次。6日即觉眩晕,四肢无力,送某医院就诊,查尿糖(-),嘱7日早晨查空腹血糖,未给任何药物。7日凌晨1时起床小便后随即昏倒,不省人事,四肢抽搐,即抬入院。体查:体温36.8℃,呼吸20次,脉搏64次,血压140/90。发育正常,营养中等,深昏迷。颈软,双瞳等圆,直径2mm,对光反应迟钝,口角无偏,鼻唇沟对称,肺闻痰鸣音,心律齐,心率64次/分,无杂音,腹软,肝脾不大,肠鸣正常。四肢强直性抽搐,无偏瘫。病理神经反射(-)。实验室检查:X线胸片、头颅片无
Male, 58 years old, cadre, hospital number 21068. March 7, 1985 due to coma with limbs convulsions 1 hour admission. Patients usually no health, no urological diseases, no similar history, no “more than a few” symptoms of diabetes. But there is more water, drink tea, nocturnal urination and more. March 4 to 5, self-serving Xiaoke Pills, 10 pills each time, 3 times a day a total of 6 times. 6th, that is, dizzy, limb weakness, to a hospital for treatment, check urine (-), Zhuangfang 7 morning check fasting blood glucose, did not give any drugs. Immediately after urination at 1 am on the 7th fainted unconsciously, limbs and convulsions, that is carried into the hospital. Physical examination: body temperature 36.8 ℃, breathing 20 times, pulse 64 times, blood pressure 140/90. Normal development, moderate nutrition, deep coma. Neck soft, double pupil and other round, diameter 2mm, unresponsive to light, mouth unbiased, symmetrical nasolabial fold, lung smear phonation, heart Qi, heart rate 64 beats / min, no noise, abdominal soft, , Bowel normal. Ankylosing twitching limbs, no hemiplegia. Pathological reflex (-). Laboratory tests: X-ray, no cranial