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患者 男性,54岁,1997年10月8日入院。6天前无明显诱因出现视物成双,左侧明显,不伴头痛、头晕及呕吐,无明显多尿、多饮、多食、消瘦。2天前来我院眼科门诊检查发现“双眼视网膜病,左眼外直肌不全麻痹”,考虑糖尿病,遂查空腹血糖达11.4mmol/L,尿糖((?)),酮体((?)),在急诊室治疗,酮体阴转后收入病房。入院查BP 25/15kPa(188/112mmHg),心肺腹未见异常。眼部检查:双眼视力均为1.0,左眼向外侧运动轻度受限;双眼底视网膜可见散在出血及灰色渗出团块,左眼较重;眼底荧光造影示双眼糖尿病视网膜病变(增殖前期)。血糖11.6mmol/L,尿糖((?)),酮体((?))。诊断:①Ⅱ型糖尿病并酮症、外展神经
Male patient, 54 years old, admitted to hospital on October 8, 1997. 6 days ago there is no obvious incentive to appear in pairs, the left obvious, without headache, dizziness and vomiting, no significant polyuria, drink more, eat more, weight loss. 2 days ago to our hospital ophthalmology examination found that “binocular retinopathy, left lateral rectus abscess paralysis,” consider diabetes, then check fasting blood glucose up to 11.4mmol / L, urine sugar ((? )), In emergency room treatment, ketone body income after recuperation ward. Admission BP 25 / 15kPa (188 / 112mmHg), no abnormal cardiopulmonary abdomen. Eye examination: both eyes were 1.0, lateral movement of the left eye slightly limited; double retina visible diffuse bleeding and gray exudation mass, left eye heavier; fundus fluorescein angiography showed diabetic retinopathy (pre-proliferative) . Blood glucose 11.6mmol / L, urine sugar ((?)), Ketone bodies ((?)). Diagnosis: ① type II diabetes ketosis, abducens nerve