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患者男,60岁。因患糖尿病13年,并肺结核(活动期)、肾功能不全、氮质血症、低蛋白水肿、左大腿深部脓肿7天,于1993年8月30日住入我院外科。经切开引流,脓肿治愈而于9月6日转入我科。查体:患者消瘦体质,脱水貌,精神萎糜,测T、P、R、BP均正常,右肺闻及湿罗音,心(—),肝脾未扪及,双下肢水肿,神经系统生理反射存在,病理反射未引起。化验:血、尿、便常规均正常;血肌酐2.9mg/dl,尿素氮42.8mg/dl;空腹血糖29.6mmol/L,尿糖++++;血浆总旦白5.2g/dl,白旦白4.0g/dl,球旦白1.2g/dl;K~+4.7mmol/L、Na~+143mmol/L,CL~ -105mmol/L,
Male patient, 60 years old. Due to diabetes for 13 years, and pulmonary tuberculosis (active), renal insufficiency, azotemia, low protein edema, deep left abscess of the thigh for 7 days, on August 30, 1993 admitted to our hospital surgery. After incision and drainage, abscess cure and transferred to our department on September 6. Check the body: patients weight loss, dehydration, wilting spirit, measured T, P, R, BP are normal, right lung smell and wet rales, heart (-), liver and spleen not palpable, lower extremity edema, nervous system Physiological reflex exists, pathological reflex did not cause. Laboratory: blood, urine, they are routinely normal; serum creatinine 2.9mg / dl, urea nitrogen 42.8mg / dl; fasting blood glucose 29.6mmol / L, urine sugar +++ +; total plasma protein 5.2g / dl, White 4.0g / dl, ball white 1.2g / dl; K ~ + 4.7mmol / L, Na ~ 143mmol / L, CL ~ 105mmol / L,