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长期以来,对肝病患者不加以鉴别地长期大量吃糖或/并静脉给糖,是否有益,值得怀疑。本文报告肝源性糖尿病一例,藉以引起注意。病例摘要患者男,34岁,因突然大量呕血于1965年2月28日住院。诉3月前因食后腹胀,乏力,倦怠,曾就诊查体发现脾于肋缘下2.0厘米,未扪及肝脏。肝功能:麝浊度8.37单位,锌浊17.7单位,谷丙转氨酶137单位,诊为慢性肝炎。家族及本人均无糖尿病史。入院查体:未见蜘蛛痣,皮肤及玑膜无黄疸。
For a long time, it is doubtful whether patients with liver diseases will be given a large amount of sugar or / and intravenous sugar for long periods without being identified. This article reports a case of Hepatogenic Diabetes to draw attention. Case Summary Male patient, 34 years old, was hospitalized on February 28, 1965 due to a sudden massive hematemesis. V. 3 months ago due to post-abdominal distension, fatigue, fatigue, physical examination found spleen 2.0 cm under the costal margin, palpable liver. Liver function: musk turbidity 8.37 units, zinc turbidity 17.7 units, alanine aminotransferase 137 units, diagnosed as chronic hepatitis. Family and I have no history of diabetes. Admission examination: No spider nevus, no jaundice in skin and throat membrane.