患者,女性,63岁,于1996年4月8日因头昏、乏力20余年,复发加重4月入院。 查体:血压22.7/13.3kPa,慢性病容,肥胖,面部浮肿,口唇无发绀,颈静脉未见充盈,自动体位。双肺呼吸音清晰,未闻干、湿性罗音,心界向左下扩大,心率72次/分,心音低钝,律整,各瓣膜未闻及杂音。肝右肋下1cm可触及。双下肢轻度浮肿。实验室检查:空腹血糖10.2mmol/L,早餐后2h血糖 Patient, female, 63 years old, on April 8, 1996 due to dizziness, fatigue more than 20 years, recurrence increased in April admission. Examination: blood pressure 22.7 / 13.3kPa, chronic disease, obesity, facial swelling, no cyanotic lips, jugular vein filling, automatic position. Breath sounds clear lungs, no smell of dry, wet rales, heart to expand to the lower left, heart rate 72 beats / min, low heart sound blunt, law, the valve is not smell and noise. 1cm under the right rib can be touched. Lower extremity mild edema. Laboratory tests: fasting blood glucose 10.2mmol / L, 2h after breakfast blood glucose