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患者于××男36岁于10年前出现鼻翼增大,手指增粗。并伴乏力及性欲减退。86年3月出现多饮,多尿、消瘦、近半年加重。以“垂体生长激素瘤、肢端肥大症伴糖尿病”于90年11月26日收入我院。家族史无特殊记载。查体:肢大面容,唇厚,下颌突出,牙齿呈反颌,鼻翼增大,掌围21cm,指围7cm,下肢关节稍大。心肺正常。化验:空腹血糖12.9mmol/L,餐后2小时血糖25.9mmol/L,尿糖(+++),酮体(++)。CT 疑似垂体瘤。X 线:符合垂体瘤。眼底:视乳头色正常,边界清,视网膜呈淡奶油色,血
Patients in XX male and 36 years old 10 years ago appeared nose increased, finger thickening. Accompanied by fatigue and loss of libido. 86 years in March to drink more, more urine, weight loss, increased nearly half a year. To “pituitary growth hormone tumor, acromegaly with diabetes” in November 26, 90 income in our hospital. Family history no special records. Physical examination: limbs large face, thick lips, prominent jaw, the teeth were anti-jaw, nose increased, palm circumference 21cm, refers to the circumference of 7cm, lower extremity joints slightly larger. Cardiopulmonary normal. Assay: fasting blood glucose 12.9mmol / L, 2 hours postprandial blood glucose 25.9mmol / L, urine sugar (+ +), ketone body (++). CT suspected pituitary tumor. X-ray: in line with pituitary tumor. Fundus: Normal papilloma, border clear, the retina was light cream, blood