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患者,女,22岁,农民。1981年11月起烦渴、多饮、多尿,每天饮水7～8水瓶(10000ml 以上),最多达12瓶,同时伴食欲亢进、消瘦、乏力,每天食量1.5～2斤,于1982年3月6日就诊。既往体健,病前无感染、颅脑外伤等病史,父母非近亲结婚,一弟13岁,无类似症状。检查:身高164cm,上下身比例正常,体重42kg,神清,BP96/60,头颅正常,皮肤无疖肿,甲状腺不肿大,心肺及肝牌无异常。实验室检查:血红蛋白12.1g%。红细胞370万。尿比重1.004,尿渗透压77mOsm/kgH_2O,血渗透压
Patient, female, 22 years old, farmer. November 1981 since the polydipsia, polydipsia, polyuria, daily water 7 ~ 8 bottles (10000ml above), up to 12 bottles, at the same time with appetite hyperthyroidism, weight loss, fatigue, daily intake of 1.5 to 2 pounds, in 1982 3 On the 6th visit. Past physical health, disease-free infection, traumatic brain injury history, parents marry non-relatives, a younger brother 13 years old, no similar symptoms. Check: height 164cm, the upper and lower body normal, weight 42kg, Shen Qing, BP96 / 60, normal skull, no swelling of the skin, thyroid enlargement, heart and lungs and liver without exception. Laboratory tests: hemoglobin 12.1g%. RBC 3.7 million. Urine specific gravity 1.004, urine osmolality 77mOsm / kgH_2O, blood osmolality