病历简介患者,女,28岁,因上腹痛、多饮伴体重下降2周,加重伴呕吐、烦躁2天到我院急诊。患者2周前无诱因出现上腹烧灼样疼痛,伴有反酸、乏力,同时有多饮、多尿和体重下降,未予重视也未就医。2天前出现失眠、烦躁、淡漠,到某医院神经内科就诊,给予舒乐安定1mg、阿米替林25mg Patient, female, 28 years old, due to upper abdominal pain, drink more weight loss for 2 weeks, aggravating with vomiting, irritability 2 days to our hospital emergency room. 2 weeks before the patient had no incentive to burning pain on the abdomen, accompanied by acid reflux, fatigue, at the same time have more drinks, more urine and weight loss, no attention nor medical treatment. 2 days ago, insomnia, irritability, indifference, to a hospital neurology clinic, giving lelephone 1mg, amitriptyline 25mg