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患者女,41岁,农民。患者于1985年7月因出现口渴、多饮、多食、多尿,查血糖23.5mmol/L,曾诊为糖尿病并给以D_(860)治疗。近1年来因常出现心悸、出汗而停药。1988年7月始渐出现小便不畅甚或点滴而出,伴下腹憋胀,近来病情加重于1989年5月9日入院。患者曾产四胎,产后均无大出血,但末次产后无乳,月经减少紊乱至停经。体检:T、P、R均正常,BP8.66/6.67kPa,营养不良,面色苍白,表情淡漠,头发稀疏干燥,眉毛、腋毛、阴毛脱落,全身非指凹性水肿;心率
Female patient, 41 years old, farmer. Patients in July 1985 due to thirst, drink more, eat more, polyuria, check blood glucose 23.5mmol / L, had been diagnosed with diabetes and given D_ (860) treatment. In the past year due to frequent palpitations, sweating and withdrawal. July 1988 gradually poor urine or even drip, accompanied by abdominal bloating, the recent aggravating conditions on May 9, 1989 admission. Patients had four births, no bleeding after delivery, but the last postpartum non-milk, menstrual disorders to reduce menopause. Physical examination: T, P, R are normal, BP8.66 / 6.67kPa, malnutrition, pale, apathetic hair dry thinning, eyebrows, armpit hair, pubic hair loss, body non-concave edema; heart rate