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患者女,52岁。因精神受刺激后出现厌食、恶心、呕吐1个月,伴情绪低沉、烦躁、多汗、消瘦,以呕吐原因待查收入院。查体:T37.5℃,P125次/min,R24次/min,BP13/8kPa。精神差,烦躁,轻度脱水貌,心率125次/min,律规整无杂音。双下肢肌力Ⅳ级,肌张力减低,跟膝反射减弱。其余无明显异常。辅助检查:血WBC4.8×I0~9/L,N68％;血钾3.2mmol/L,钠133mmol/L,氯95mmol/L,二氧化碳结合力23.8mmol/L;肝功、AFP、总胆红素、血糖、血胰淀粉酶均正常;腹部CT、上消化道钡餐无异常发现;心电图示窦性心动过速。初诊为胃神经官能症,电解质紊
Female patient, 52 years old. Anorexia, nausea and vomiting due to mental irritation after 1 month, with emotional depression, irritability, sweating, weight loss, vomiting due to be admitted to hospital. Physical examination: T37.5 ℃, P125 times / min, R24 times / min, BP13 / 8kPa. Poor spirit, irritability, mild dehydration appearance, heart rate 125 beats / min, law no noise. Ⅳ lower limb muscle strength, muscle tension decreased, with the knee reflex decreased. The rest without obvious abnormalities. Auxiliary examination: blood WBC4.8 × I0 ~ 9 / L, N68%; serum potassium 3.2mmol / L, sodium 133mmol / L, chlorine 95mmol / L, carbon dioxide binding power 23.8mmol / L; liver function, AFP, total bilirubin Su, blood glucose, blood pancreatic amylase were normal; abdominal CT, upper gastrointestinal barium meal no abnormalities found; ECG showed sinus tachycardia. New diagnosis of gastric neurosis, electrolyte turbulence