病历摘要男,5(1/2)岁,因生长发育迟缓伴多饮多尿5年于1988年8月5日入院。患儿生后4个月起渐消瘦、纳差,不长高、智能较同龄儿差,每月出现1～2次多饮多尿和嗜睡,不伴吐泻,无低热盗汗,每次输液治疗能缓解,发作随年龄增长而渐频,多次以“重度营养不良、低血钾”住院,仅能好转。系第四胎、足月第三产,母乳喂养至4个月,体胖,4个月后米糊喂养,以后进食量少,喜吃咸食,7月会坐,8月出牙,1(1/2)岁独走,目前仅能说简单词句,只能数至1～30。无结核接触史。父 Medical summary Male, 5 (1/2) years old, due to growth retardation with polyhydramnios 5 years in 1988 August 5 admission. 4 months after birth, weight loss, anorexia, not long high, poor intelligence than the same age, 1 to 2 times per month polyhydramnios and lethargy, without vomiting and diarrhea, no fever, night sweats, each infusion therapy Can ease, seizures with increasing frequency and frequency, many times to “severe malnutrition, hypokalemia” hospital, only to improve. Department of the fourth child, full-term third childbirth, breastfeeding to 4 months, body fat, 4 months after the rice paste feeding, after eating less, like to eat salty food, July will sit, toothing in August, 1 (1/2) years old alone, at present can only say simple words, only to the number of 1 to 30. No TB contact history. father