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患者女,24岁,农民。就诊前1周因“上呼吸道感染”在当地卫生所就医,既往糖尿病史11年,自注射胰岛素治疗,剂量自定;未定期检查血糖及尿糖;否认心脏病史及气管炎病史。3周前因相同病症在其他医院救治。患者因“胸憋、气短、心悸半日,加重3小时并烦渴、头痛;口服感冒冲剂后呕吐而速来我院。查体:体温36.6℃,脉搏120次/分,呼吸40次/分,血压135/95mmHg,意识清楚,精神弱,营养发育欠佳,呼吸深快,有酮味,可正确回答问题;皮肤弹性尚可,浅表淋巴结未触及,头颅及其附属器官大致正常,双侧瞳孔等
Female patient, 24 years old, farmer. 1 week prior to treatment due to ”upper respiratory tract infection “ in the local health clinic for medical treatment, past 11 years history of diabetes mellitus, since the injection of insulin therapy, the dose set; not regularly check blood sugar and urine; denied a history of heart disease and tracheitis. Three weeks ago due to the same illness in other hospitals for treatment. Patients with ”chest biceps, shortness of breath, palpitations half a day, aggravate 3 hours and polydipsia, headache; vomiting after oral cold granules and speed to our hospital .Check the body temperature 36.6 ℃, pulse 120 beats / min, breathing 40 beats / min , Blood pressure 135 / 95mmHg, clear consciousness, weak spirit, poor nutrition development, deep breathing, ketones taste, correct answer to the question; skin elasticity is acceptable, superficial lymph nodes not touched, the skull and its appendages roughly normal, double Side pupils and so on