汤××,女,37岁,未婚,1964年8月25日入院.患者一向健康,于入院前40天,始有畏寒低热,乏力,失眠,食欲不振,有时恶心呕吐、心慌等现象.以后并伴有烦渴,饮水及尿量逐渐增多,经治疗无效.至入院前4天,每昼夜饮水及尿量增多达5,000～8,000毫升,同时上述症状亦渐加重,并显消瘦. 体检:体温37.6℃,脉搏86,呼吸22,血压108/74.发育正常,消瘦,两颊潮红,甲状腺不肿大.心界正常,心音低弱,两肺呼吸音正常.腹软,肝在剑突下3厘米,质软,脾未触及.两侧脊肋角有轻度压痛.肱二头肌及肱三头肌反射,腹壁及膝反射均未引出,无病理反射.红细胞374万, Soup × ×, female, 37 years old, unmarried, admitted to hospital on August 25, 1964. The patient has been healthy for 40 days before admission. She has chills, fever, fatigue, insomnia, loss of appetite, nausea, vomiting and palpitation. Later, accompanied by polydipsia, drinking water and urine volume gradually increased after treatment ineffective .During the first 4 days before admission, drinking and urine volume per day and night increased by 5,000 to 8,000 ml, while the above symptoms also gradually aggravated, Body temperature 37.6 ℃, pulse 86, breathing 22, blood pressure 108/74. Normal development, weight loss, cheeks flushing, thyroid enlargement. Normal heart, low heart sounds, lungs breathing sounds normal. Abdominal soft, Under the 3 cm, soft, spleen not touched .Bilateral ridge rib angle mild tenderness, biceps and triceps reflex, abdominal and knee reflex were not induced, no pathological reflex erythrocytes 3740000,