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例1,女,50岁。发现糖尿病3年来未正规治疗。近3个月腹部肿胀,拟诊子宫肿瘤收住。体检:腹软,脐下可触及胎头大小肿块,活动度小,质地中等无疼痛。尿糖++。空腹血糖11.8mmol/L。B超双侧肾盂扩张,膀胱充盈。入院后给予保留导尿,首次导尿量300ml,腹块消失。3天后拔出导尿管,尿量正常;同时口服降糖药治疗,2周后好转出院。 例2,男,73岁。糖尿病1年余,因排尿困难多次至泌尿科就医,检查前列腺无肿大,导尿拔管后不能自行排尿,来
Example 1, female, 50 years old. Found that diabetes is not formal treatment for three years. Abdominal swelling in the past 3 months, the proposed diagnosis of uterine cancer. Physical examination: Abdominal soft, under the umbilical can reach the size of fetal head mass, activity is small, medium texture without pain. Urine ++. Fasting blood glucose 11.8mmol / L. B super bilateral pyelonephrosis, bladder filling. After admission to give retention catheterization, the first catheterization volume 300ml, abdominal mass disappeared. 3 days after pulling the catheter, urine output was normal; the same time, oral hypoglycemic agents, 2 weeks after the discharge improved. Example 2, male, 73 years old. More than 1 year of diabetes, due to difficult urination to Urology medical treatment, check the prostate without swelling, after catheterization can not urinate extubation, to