论文部分内容阅读
患者男,48岁,未婚,多饮、多食、多尿5年,体重减轻2年。患者5年前诊断为2型糖尿病,不规则服用中药治疗,血糖控制不佳。近2年体重由78 kg 逐渐下降至71 kg。门诊测血糖为12.3 mmol/L,拟诊“糖尿病”入院。患者为第1胎足月顺产,父母非近亲结婚。出生时未发现异常,2岁会走路,智力发育迟缓,5岁会说话。8岁上学,记忆力及学习能力差,2年后退学。青春期无第二性征出现。父亲身高178 cm,母亲身高158 cm。家族中无糖尿病患者。体格检
Male patient, 48 years old, unmarried, drink more, eat more, polyuria 5 years, weight loss 2 years. 5 years ago, patients diagnosed with type 2 diabetes, irregular treatment with traditional Chinese medicine, poor blood sugar control. The weight of the past two years gradually decreased from 78 kg to 71 kg. Outpatient blood glucose was 12.3 mmol / L, to be diagnosed “diabetes ” admitted to hospital. The patient had full-term follow-up of the first child and the parents were married non-close relatives. No abnormalities were found at birth, 2 years old would walk, mental retardation, 5 years old would speak. 8 years old school, poor memory and learning ability, two years later dropped out of school. Adolescent no secondary sexual characteristics appear. The father is 178 cm tall and the mother is 158 cm tall. Family without diabetes. Physical examination