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患者刘某,女,54岁。病人多饮,多尿,消瘦三个月。于1994年4月6日入院。患者于三个月前,出现多饮,饮水量:24小时多于5000毫升,多尿,24小时多于4000毫升。食欲及食量正常,无胸闷,胸痛,咳嗽等症状。既往患慢性肝炎多年,无肺结核病史。查体:体温:36.5℃,脉搏:88次/分,呼吸:16次/分,血压:16/10kpa。全身皮肤粘膜无黄染,锁骨下可触及数个质硬,活动差的淋巴结,双肺呼吸音清,未闻及干湿罗音,心音纯,节律整,腹平软,肝大助下3.0厘米,质软。边缘锐利,无般痛。腹水征阴性,
Patient Liu, female, 54 years old. Patients drink more, more urine, weight loss for three months. He was admitted to hospital on April 6, 1994. The patient presented with multiple drinks before 3 months. The amount of drinking water was more than 5000 ml in 24 hours, polyuria, and more than 4000 ml in 24 hours. Appetite and normal food intake, no chest tightness, chest pain, cough and other symptoms. He has been suffering from chronic hepatitis for many years without history of tuberculosis. Physical examination: body temperature: 36.5°C, pulse: 88 breaths/minute, respiration: 16 breaths/minute, blood pressure: 16/10 kpa. The body skin and mucous membranes are yellow-stained, and several hard bones can be touched under the clavicle. The lymph nodes with poor activity have clear breathing sounds in both lungs. The dry and wet rales are not heard, the heart sounds are pure, the rhythm is whole, the abdomen is soft, and the liver is assisted by 3.0 cm. , soft quality. Sharp edges, no pain. Negative ascites sign,