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吴某某,女,29岁。因上腹疼痛七天,烦渴、多尿、多饮三天,神志不清一天,于1986年11月4日晚入院。七天来,患者上腹阵发隐痛,伴呕吐两次,为胃内容物。三天前开始明显烦渴、多饮、多尿,上腹疼痛加重,进食极少。一天前出现烦躁,周身不 适,皮肤明显触痛。当天上午开始神志不清、尿少。曾在其他医院静推(滴)葡萄糖若干。否认既往及家族中有糖尿病史。 查体:体温:38.2℃,脉搏:126次/分,呼吸:25次/分,血压:13.1/7.5kPa(98/56mmHg)。浅昏迷,中度脱水貌,无酮
Wu Moumou, female, 29 years old. Due to abdominal pain for seven days, polydipsia, polyuria, drink three days, confusion day, on the night of November 4, 1986 admitted to hospital. In seven days, the patient had an abdomen burst of pain and vomiting twice as a stomach content. Three days ago obviously polydipsia, polydipsia, polyuria, abdominal pain increased, eating very little. One day ago appeared irritable, unpleasant, skin tenderness. The morning began unconscious, less urine. In other hospitals static push (drop) glucose number. Denied past and family history of diabetes. Examination: body temperature: 38.2 ℃, pulse: 126 beats / min, breathing: 25 beats / min, blood pressure: 13.1 / 7.5kPa (98 / 56mmHg). Shallow coma, moderate dehydration appearance, no ketone