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作者报告一10岁男孩,入院主诉为乏力及腹绞痛。2日前发生流感样疾病,有疲乏、头痛、咽痛、胸痛、食欲不良、恶心及肌痛。入院前1日多尿、多饮、腹绞痛。入院当天早晨变为嗜睡,言语模糊、虚脱但未丧失知觉。过去史无特异。家族中一舅有少年型糖尿病,外祖母及一姑一叔有成年型糖尿病。体检除嗜睡外,无神经系统异常,心肺腹均阴性。血红细胞、血红蛋白、血小板均正常,白细胞23,000,杆状核中性粒细胞29%,分叶核52%,生化及酶值正常,血糖598mg%,二氧化碳结合力5mEq/L,血、尿醋酮强阳性,尿糖++++,胸片清晰,心电图除心动过速外正常。
The author reported a 10-year-old boy, admitted to the main complaint of fatigue and abdominal cramps. Flu-like illness occurred 2 days ago with fatigue, headache, sore throat, chest pain, poor appetite, nausea and myalgia. 1 day before admission, more urine, drink more, abdominal cramps. On the morning of admission, they became drowsy, vaguely speechless, but without loss of consciousness. Past history is unique. Uncle one in the family has juvenile diabetes, grandmother and aunt uncle with adult diabetes. In addition to lethargy physical examination, no neurological abnormalities, abdominal heart and lung were negative. Blood red blood cells, hemoglobin, platelets were normal, leukocytes 23,000, rod-shaped neutrophils 29%, leaf nuclear 52%, biochemical and enzyme values, blood sugar 598mg%, carbon dioxide binding 5mEq / L, Strong positive, urine ++++, chest X-ray clear, ECG except normal tachycardia.