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病历摘要:患者男,62岁,住院号146392。因两下肢疼痛三个月,口角偏斜二个半月,于1986年6月17日入院。入院前三个月,无明显原因,逐渐出现两下肢疼痛,彻夜难眠。在外院检查尿糠(),空腹血糖13.87mmol/L(248mg),诊断为糖尿病。予以胰岛素及口服降糖药物治疗,血糖控制不良。一周后,突然出现口角向左上偏斜,吐音不清,流涎和进食时食物从口角漏出,拟诊为脑血栓形成。继续相应的治疗一个半月,血糖仍未控制,上述症状未改善,并出现复视。发病来神志清,无恶心、呕吐,无明显多饮、多食、多尿,但体重明显减轻,无肢体瘫痪及大小便失禁。体检:体温36.8
Medical record summary: Patient male, 62 years old, hospital number 146392. Three months due to pain in both lower extremities, skewed two and a half months, June 17, 1986 admission. Three months before admission, no obvious reason, gradually two legs pain, sleepless nights. Examination of the external hospital urine bran (), fasting blood glucose 13.87mmol / L (248mg), diagnosed with diabetes. To be insulin and oral hypoglycemic drugs, poor blood glucose control. A week later, a sudden tilt to the left upper corner of the mouth, spit sound unclear, saliva and food leakage from the mouth when the food, to be diagnosed as cerebral thrombosis. Continue the appropriate treatment a month and a half, blood glucose has not yet been controlled, the symptoms did not improve, and diplopia. The incidence of delirious, no nausea, vomiting, no obvious drink, eat more, more urine, but significant weight loss, no limb paralysis and incontinence. Physical examination: body temperature 36.8