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患者女性,45岁,多饮、多食、多尿伴消瘦、乏力2年余,未经诊治。1989年3月以尿潴留住院。体检:脱水貌,表情淡漠,反应迟钝,心音低钝,心率110/min左右,肝肋下未及,双下肢肌力减退为Ⅲ-Ⅳ级,腱膝反射减弱。3月4日08:00发现神志不清,呈浅昏迷状,血压58/40mmHg,心率150次/min,心电图示室性心动过速伴心室电交替(附图)。
Female patients, 45 years old, drink more, eat more, polyuria with weight loss, fatigue more than 2 years, without consultation. 1989 March to urinary retention in hospital. Physical examination: dehydration appearance, indifferent expression, unresponsive, low heart sound, heart rate 110 / min or so, under the ribs, lower extremity muscle strength of Ⅲ-Ⅳ grade, tendon knee reflex decreased. March 4 at 08:00 found unconscious, was shallow coma, blood pressure 58 / 40mmHg, heart rate 150 beats / min, ECG showed ventricular tachycardia with ventricular exchange (with photos).