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患者女性,67岁。因误服降糖灵625mg后感头晕、乏力、恶心、呕吐12h,于1989年12月27日入院。患者既往有“糖尿病”及“高血压病”史10余年,平素经饮食控制及服“复方降压片”血糖控制满意,血压稳定在24/13.3-14.7kPa。入院时检查:T36.5℃,P84次/min,R20次/min,BP17.3/10.7kPa,营养发育一般,精神萎靡,神志清楚,皮肤干燥弹性差,双侧瞳孔等大等圆,对光反射好,口腔无异味,颈软,气管居中,两肺呼吸音清晰,心界向左下侧扩大,HR84次/min,律整,心尖部可闻及Ⅱ级全收缩期杂音,腹平软,肠鸣音亢进,双下肢无浮肿,生理反射
Patient female, 67 years old. Due to accidental hypoglycemic 625mg flu dizzy, fatigue, nausea, vomiting 12h, on December 27, 1989 admission. Patients with past history of “diabetes” and “hypertension” for more than 10 years, usually by diet control and service “compound antihypertensive tablets” blood glucose control satisfaction, blood pressure stabilized at 24 / 13.3-14.7kPa. Admission examination: T36.5 ℃, P84 times / min, R20 times / min, BP17.3 / 10.7kPa, general nutrition development, apathetic, conscious, dry skin elasticity is poor, bilateral pupil and other large circle, right Light reflex, no smell in the mouth, neck soft, the middle of the trachea, both lungs breath sounds clear, heart to the left side of the expansion, HR84 times / min, law, apex can be heard and Ⅱ grade systolic murmurs, , Bowel sounds hyperthyroidism, no lower extremity edema, physiological reflex