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男患,35岁,农民。住院号56173.因多饮、多食、多尿一月,呕吐四天于1990年1月11日入院。原于1989年11月20日起病,外院治疗,查出血热抗体(十),诊断为“流行性出血热”。五期经过明显。患者平素健康,病前无多饮、多食、多尿病史;家族中无糖尿病病史。查体T36℃,Bp16/12kPa,神志清楚,精神萎靡,消瘦病容,脱水貌,皮肤弹性差,心肺无异常。腹平软,肝脾不肿大。实验室检查:Hb 144g/L,WBC 6.8×10~9/L,N0.67、L0.33.尿pH5.5,尿糖++++,尿酮++++,血糖22.48mmol/L。血钾4.83mmol/L、血钠141.3mmol/L、血氯104mmol/L.血气分析pH
Male suffering, 35 years old, farmer. Hospitalization 56173. Due to drink more, eat more, polyuria in January, vomiting four days admitted on January 11, 1990. The original in November 20, 1989 onset, outside the hospital treatment, detection of hematological antibodies (10), diagnosed as “epidemic hemorrhagic fever.” Five after the obvious. Patients usually healthy, no pre-drowning, eating more, history of diabetes; family history of no diabetes. Physical examination T36 ℃, Bp16 / 12kPa, conscious, apathetic, weight loss, dehydration appearance, skin elasticity is poor, no abnormal heart and lung. Abdomen soft, liver and spleen is not enlarged. Laboratory tests: Hb 144g / L, WBC 6.8 × 10 ~ 9 / L, N0.67, L0.33, urine pH5.5, urine sugar ++++, urinary ketone ++++, blood sugar 22.48mmol / L. Potassium 4.83mmol / L, serum sodium 141.3mmol / L, blood chloride 104mmol / L. Blood gas analysis pH