患者男,51岁。因多饮、多尿、多食7年,视力下降、四肢麻木2年,头晕、恶心2天入院。体检:血压21/14kPa,巩膜无黄染,心肺未见异常。腹平软,无压痛,肝脾助下未触及,肾区无叩痛,腱反射正常。实验室检查:血糖10.2mmol/L,血红蛋白138g/L,白细胞9.2×10~9/L,尿常规正常,肝功正常,谷丙转氨酶18U/L,血HBsAg(一),总胆红质小于17.1μmol/L,尿素3.1mmol/L,肌酐88.4μmol/L,心电图正常。入院诊断:非胰岛素依赖型糖尿病,高血压病1期。 Patient male, 51 years old. Due to drink more, more urine, eat more food for 7 years, vision loss, limb numbness 2 years, dizziness, nausea 2 days admission. Physical examination: blood pressure 21 / 14kPa, Sclera no yellow dye, no abnormal heart and lung. Abdomen soft, no tenderness, liver and spleen to help not touched, the kidney area without percussion pain, tendon reflex normal. Laboratory tests: blood glucose 10.2mmol / L, hemoglobin 138g / L, white blood cells 9.2 × 10 ~ 9 / L, urine normal, normal liver function, alanine aminotransferase 18U / L, blood HBsAg 17.1μmol / L, urea 3.1mmol / L, creatinine 88.4μmol / L, normal ECG. Admission diagnosis: non-insulin-dependent diabetes, hypertension 1.