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1病例报告患者男,41岁。因“口渴、多饮、多尿1周,恶心、食欲缺乏2天”入院。既往有1型糖尿病史,长期应用胰岛素控制。入院前1周进食甜食后出现口渴、多饮、多尿,入院前2天出现恶心、食欲缺乏、头晕、乏力。查体:神志清,精神可,口中呼气有酮味;两肺呼吸音清,未闻及干湿性啰音;心率104/min,律齐,各瓣膜区未闻及杂音;腹部平软,无压痛、反跳痛,肝脾肋下均未触及,
1 case report Patients male, 41 years old. Because of “thirst, polydipsia, polyuria 1 week, nausea, loss of appetite 2 days ” admission. Past history of type 1 diabetes, long-term use of insulin control. 1 week before admission, after eating sweets thirsty, drink more, more urine, 2 days before admission, nausea, loss of appetite, dizziness, fatigue. Examination: conscious, the spirit can be, mouth breath ketone flavors; breath sounds of both lungs clear, unheard and wet and dry rales; heart rate 104 / min, law Qi, the valve area is not heard of noise; belly flat soft , No tenderness, rebound tenderness, liver and spleen ribs have not touched,