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病历摘要韩××,女性,28岁,病案号:C 235823。因纳差、乏力伴全身皮肤色素沉着1年余,近5日频繁呕吐来我院内分泌门诊就诊。患者于1年前无明显诱因出现纳差、乏力及全身皮肤色素沉着,虽多处诊治,病情仍渐恶化。色素沉着进行性加重,并出现头晕、心悸、怕冷、手足心无汗、记忆力减退、乳房萎缩及腋、阴毛脱落等症状。每餐主食由4两减至1～2两,体重减少10公斤,不能胜任一般家务劳动。5天前因感冒发烧后频繁呕吐,不能饮水进食,12小时无尿。门诊测血压70/50毫米汞柱而入院。
Medical record summary Han × ×, female, 28 years old, case number: C 235823. Due to anorexia, fatigue with systemic skin pigmentation more than 1 year, nearly 5 days vomiting to our hospital endocrine clinic. A year ago, no obvious incentive for patients with anorexia, fatigue and skin pigmentation, although many treatment, the condition is still getting worse. Pigmentation progressive increase, and dizziness, palpitations, cold, hand, foot sweat, memory loss, breast atrophy and axillary, pubic hair shedding and other symptoms. Each staple food from 4 to 2 reduced to 1 to 2 two weight loss of 10 kg, can not do the normal housework. 5 days ago due to frequent fever and vomiting, can not drink water, 12 hours without urine. Outpatient blood pressure 70/50 mm Hg admission.