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患者24岁,住院号88—1106。因肥胖1年,月经稀发5个月于1988年1月29日住院。入院前因闭经54天,用黄体酮60mg肌注有撤药性出血反应。既往健康,12岁初潮月经周期5～7/37～45天,经量中等无痛经,婚后半年未孕。家族史无特殊。查体;T37℃,P78次/分,Bp17/12 kPa,身高1.56米,体重62.5kg,全身毳毛增多。妇科检查:外阴阴毛浓密,子宫体后位正常大,活动良,双侧附件未见异常。实验室检查:LH 7.01U/L,FSH 24IU/L,PRL0.91nmol/L,E_2 89.29pmol/L,T_3 29nmol/L,空腹血糖5.3mmol/L,餐后2小时血糖7.1mmol/L,24小时
Patient 24 years old, hospital number 88-1106. 1 year due to obesity, menstrual thinning 5 months in January 29, 1988 hospitalization. Amenorrhea for 54 days before admission, with progesterone 60mg intramuscular injection withdrawn bleeding reaction. Past health, 12-year-old menarche menstrual cycle 5 ~ 7/37 ~ 45 days, the amount of moderate painless, unmarried half a year after marriage. No special family history. Examination; T37 ℃, P78 beats / min, Bp17 / 12kPa, height 1.56 meters, weight 62.5kg, an increase of body beard hair. Gynecological examination: vulva pubic hair is thick, normal posterior uterine mass, good activity, no abnormal bilateral attachments. Laboratory tests showed that LH 7.01U / L, FSH 24IU / L, PRL 0.91nmol / L, E 2 89.29pmol / L, T 29 29nmol / L, fasting blood glucose 5.3mmol / L, hour