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患者男,22岁。1个月前出现多尿、多饮、多食、烦渴。每日饮水约4 L,消瘦疲乏明显,在当地医院拟诊糖尿病治疗。入院前1周,突然两下肢阵发性剧痛如钻刺样,且双脚不能着地,在发作间歇期有持续性钝痛,运动或热水洗脚时疼痛加剧。晚间入睡时出现双下肢疼痛,常用冰或冷水浸泡双脚,或裸露在被窝外以减轻疼痛。入院时曾诊断丹毒,经外科抗炎治疗无效,病情渐加重于1987年3月14日以糖尿病并发感染入院治疗。体格检查:T 36.8℃,P71次/min,R 21次/min,营养中,发育正常,两眼视力及眼底检查正常心肺物理检查无异常,腹
Male patient, 22 years old. 1 month ago appeared polyuria, drink more, eat more, polydipsia. Daily drinking water is about 4L, weight loss fatigue significantly, in the local hospital to be diagnosed with diabetes treatment. One week before admission, all of a sudden paroxysmal pain in both lower extremities, such as a punctured specimen, can not reach the ground. Persistent dull pain occurs intermittently during the seizure, and the pain increases during the exercise or hot water washing of the feet. There are two lower extremity pains when falling asleep in the evening, commonly used ice or cold water soaks both feet, or is exposed outside the nest in order to relieve the pain. Erysipelas was diagnosed on admission and was ineffective after surgical anti-inflammatory treatment. His condition was gradually aggravating on March 14, 1987 with admission to hospital for the treatment of diabetes mellitus. Physical examination: T 36.8 ℃, P71 times / min, R 21 times / min, nutrition, normal development, visual acuity and fundus examination of both normal heart and lung physical examination without abnormalities, abdomen