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患者男性,52岁,1977年确诊患糖尿病。1986年1月2日病情加重,逐渐浮肿,双足出现糖尿病性水泡。1月10日家属发现患者午睡时呼吸停止,颜面紫绀,立刻刺激“人中”,约2~3分钟后知觉恢复。当夜发作7次,均按上法处置而缓解。2月16日以糖尿病收入院。 体检:双睑浮肿,耳、鼻无分泌物,咽充血,扁桃体不肿大。血压150/100mmHg。心界向左下扩大,心率82次/分。腹略膨隆,腹水征阳性。双下肢凹陷性浮肿明显,双足多处可见透明水泡及破溃后形成的糜烂面。阴囊水肿。双膝腱反射极弱,神经系统检查无定位体征。
Male patient, 52 years old, diagnosed with diabetes in 1977. January 2, 1986 aggravating, gradually edema, diabetic foot blisters. On January 10, his family members found that the patient stopped breathing during the nap, the face cyanosis, immediately stimulate the “human”, about 2 to 3 minutes after the sensory recovery. 7 episodes of the night, are handled by the law and ease. Feb. 16 to diabetes hospital. Physical examination: double eyelid edema, ear, nose no secretions, pharyngeal congestion, tonsil does not enlarge. Blood pressure 150 / 100mmHg. Heart expand to the left, heart rate 82 beats / min. Abdominal swelling, ascites sign positive. Depression of both lower extremity edema was obvious, many visible double-foot blisters and ulceration formed after erosion surface. Scrotal edema. Double tendon reflex very weak, no signs of neurological examination.