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患者男,60岁,住院号119349。因言语不流利,喝水呛、咳痰困难、声嘶、双上肢麻木感4天入院。无多饮、多食、多尿、消瘦等症状。既往:冶游史(+),银屑病30余年,肺内感染反复8年余。否认糖尿病等其他病史。查体:体温脉搏正常,血压176/100毫米汞柱。头颈部、心肺、腹部未见异常。神经系统:言语不流利,舌居中无振颤及萎缩,左侧软腭提升不良,悬雍垂偏右,咽反射消失。四肢运动、感觉正常,无病理反射。视网膜动脉硬化,脑脊液正常,康、华氏反应(-)。肺X线轻度肺间质纤维化。尿糖+～艹,血糖130～200毫克％,便、血常规正常。
Male patient, 60 years old, hospital number 119349. Because of language is not fluent, choking drink, expectoration difficulties, hoarseness, upper limb numbness 4 days admission. No more drink, eat more, more urine, weight loss and other symptoms. Past: history of metallurgy (+), psoriasis more than 30 years, repeated infections in lung more than 8 years. Denied diabetes and other medical history. Physical examination: normal temperature pulse, blood pressure 176/100 mm Hg. Head and neck, heart and lungs, abdomen no abnormalities. Nervous system: the words are not fluent, the tongue center without chatter and atrophy, the left soft palate to enhance bad, uvula right, disappearance of pharyngeal reflex. Extremities exercise, feeling normal, no pathological reflex. Retinal arteriosclerosis, normal cerebrospinal fluid, Kang, Fahrenheit reaction (-). Pulmonary X-ray mild pulmonary interstitial fibrosis. Urine sugar ~ ~ 艹, blood sugar 130 ~ 200 mg%, then, normal blood.