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【病例】患者,男,72岁。因发现血糖高10余年,双下肢麻木2 a,咳嗽、咳痰4 d,于2010年9月15日收住入院。既往有高血压、冠心病、慢性乙型肝炎、腰椎间盘脱出、脂代谢异常、胆囊炎、胆结石、白内障史,无药物及食物过敏史。查体:BP 146/78 mm Hg(1 mm Hg=0.133 kPa),双肺呼吸音粗,未闻及干湿性啰音;心率70次·min~(-1),律齐;各瓣膜听诊区未闻及杂音,双下肢轻度水肿。9月7日入院前实验室检查:ALT90 u·L~(-1)、AST64 U·L~(-1),空腹血糖6.66mmol·L~(-1)。9月10日:ALT 97 U·L~(-1)、AST 65 U·L~(-1),空腹血糖6.88 mmol·L~(-1);血常规无异常。诊断为2型糖尿病,高血压病2级(极高危),冠心病,慢
[Case] patients, male, 72 years old. Because of high blood sugar found more than 10 years, numbness of the lower extremities 2 a, cough, sputum 4 d, admitted to hospital on September 15, 2010. Past history of hypertension, coronary heart disease, chronic hepatitis B, prolapse of lumbar intervertebral disc, abnormal lipid metabolism, cholecystitis, gallstones, cataract, drug-free and food allergy. Examination: BP 146/78 mm Hg (1 mm Hg = 0.133 kPa), coarse lung breath sounds, no smell and dry rales; heart rate 70 times min -1; District did not smell and noise, mild lower extremity edema. The pre-admission laboratory tests on September 7 were as follows: ALT 90 u · L -1, AST 64 U · L -1, and fasting blood glucose 6.66 mmol·L -1. September 10: ALT 97 U · L -1, AST 65 U · L -1, fasting blood glucose 6.88 mmol·L -1; no abnormal blood test. Diagnosis of type 2 diabetes, hypertension 2 (very high risk), coronary heart disease, slow