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病历摘要 患者,男,44岁,已婚。因面容粗陋,肢端肥大8年;多饮多尿5年于1084年10月第3次住北京军区总医院。患者于1976年开始逐渐出现手足肥大,多汗,思睡,性功能减退至阳萎,但无泌乳及视力视野改变。1979年出现多饮,多尿、多食,当时空腹血糖470~900mg/dl,尿糖~(++++),尿酮体阴性。按糖尿病予以D_(800)和降糖灵治疗,临床“三多”症状一度改善,血糖降至正常,尿糖消失。1980年2月“三多”症状再现,并有特殊面容,手足肥大,血糖250~310mg/dl,T_46.0pg/dl,血磷4.1mg/dl,生长激素(GH)基础值18ng/
Patient summary, male, 44 years old, married. Due to the rough face, acromegaly for 8 years; polyhydramnios 5 years in October 1084 3rd Beijing Military Region General Hospital. Patients began to appear in 1976 hand-foot hypertrophy, sweating, thinking sleep, sexual dysfunction to impotence, but no changes in breast milk and vision vision. 1979 appeared to drink more, more urine, more food, when fasting blood glucose 470 ~ 900mg / dl, urine sugar ~ (++++), urine ketone body negative. According to diabetes to D_ (800) and hypoglycemic treatment, clinical “more than three” symptoms once improved, blood sugar dropped to normal urine disappeared. February 1980 “three more” symptoms, and has a special face, hand and foot hypertrophy, blood glucose 250 ~ 310mg / dl, T_46.0pg / dl, phosphorus phosphorus 4.1mg / dl, growth hormone (GH)