1病例资料患者女,76岁,体质量48 kg,12余年前在无明显诱因下出现多食消廋伴乏力,诊断为糖尿病,开始服用降糖药物(具体不详),平素控制血糖情况不详。患者近1个月来感纳差乏力,2014年7月4日在浙江某大医院就诊。生化检查:总蛋白72.7 g·L~-1,白蛋白42.4 g·L~-1,白球蛋白比例1.4,ALT 13 U·L~-1,AST 16 U·L~-1,肌酐82μmol·L~-1,尿酸 A case data, female, 76 years old, 48 kg body weight, more than 12 years ago, there was no obvious incentive to appear more consumption Xiaoban with fatigue, diagnosis of diabetes, began to take hypoglycemic drugs (specific unknown), the general control of blood glucose is unknown. In the past month, the patients had poor appetite, and on July 4, 2014, they visited a large hospital in Zhejiang. Biochemical tests showed that total protein 72.7 g · L -1, albumin 42.4 g · L -1, white globulin 1.4, ALT 13 U · L -1, AST 16 U · L -1, creatinine 82 μmol·L ~ -1, uric acid