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患者男,33岁,因患糖尿病10年伴双足肿胀7个月入院。1981年2月因饮食不当致酮症酸中毒住某院,始用胰岛素,症状好转后出院,胰岛素32IU/日维持治疗。同年3月出现双下肢出汗,疼痛逐渐加重伴麻木感,在某院诊为糖尿病性末梢神经炎。1989年4月出现双足肿胀以右足为著,在某院以“静脉炎”治疗无效,遂住我院。体检:双足肿胀,呈扁平足,足部明显增宽,以右足为著,皮温一致无疼痛。双膝及双踝反射消失。双足背动脉搏动存在。
Male patient, 33 years old, suffering from diabetes with bipolar swelling for 10 months admitted to hospital for 7 months. In 1981 February due to improper diet caused by ketoacidosis lived in a hospital, began to use insulin, the symptoms improved after discharge, insulin 32IU / day maintenance treatment. In the same year in March appeared double lower extremity sweating, the pain aggravating with numbness, diagnosed as diabetic peripheral neuritis in a hospital. April 1989 feet swelling appears to the right foot as a hospital in a “phlebitis” invalid treatment, then live in our hospital. Physical examination: swollen feet, was flat feet, feet significantly widened to right foot for the same skin temperature without pain. Reflexes of knees and ankles disappear. Bipedal artery pulsation exists.