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例1,女性,68岁。入院前1小时睡眠中突然尖叫,四肢强直性抽搐,大小便失禁,呼之不应。于1990年7月2日入院。既往无癫痫、高血压病史。患糖尿病10余年,长期控制饮食和口服 D860治疗,尿糖控制在0～(?)之间。1周前患者感口喝,尿量增多,查空腹血糖10.2mmol/L,服优降糖2.5mg 1日3次。查体:BP14.8/9.2kPa,神志不清,口角向左歪斜,颈无阻力,右侧肢体不完全性瘫痪,上肢肌力Ⅰ～Ⅱ级,下肢肌力Ⅱ～Ⅲ级。左侧上肢不停舞动,右侧 Babinski 征(+)。尿糖(—),酮体(—),血糖1.8mmol/L.BUN、Cr、CSF 都正
Example 1, female, 68 years old. 1 hour before admission suddenly screaming in sleep, twitching limbs, incontinence, call should not. On July 2, 1990 admitted. No previous epilepsy, a history of hypertension. Suffering from diabetes for more than 10 years, long-term control of diet and oral D860 treatment, urine control between 0 ~ (?). 1 week ago, the patient mouth feeling, increased urine output, check fasting blood glucose 10.2mmol / L, serving hypoglycemic 2.5mg 3 times a day. Physical examination: BP14.8 / 9.2kPa, confusion, skew to the left corner of the mouth, no resistance of the neck, incomplete paralysis of the right limb, upper limb muscle strength Ⅰ ~ Ⅱ level, lower limb muscle strength Ⅱ ~ Ⅲ level. Left upper limbs keep galloping, right Babinski sign (+). Urine (-), ketone bodies (-), blood glucose 1.8mmol / L. BUN, Cr, CSF are positive