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熊××,女,46岁,住院号1074。多尿,多饮,烦渴,消瘦,乏力6年,入院前诊断为糖尿病,曾服用降糖灵,消渴丸效果不显,又因中断治疗复发加重半月来院。体检:体温正常,血压140/80mmHg,神志清楚,精神差,懒言,反应呆滞迟钝,皮肤腊黄色,面部及眼睑浮肿,唇厚。左肺呼吸音减弱,两肺未闻干湿性啰音,心率80次/分,律齐,心尖部可闻及Ⅱ～Ⅲ级Sm,无心慌气急及呼吸困难,心音遥远低钝,心界向两侧扩大,腹部膨隆,无腹壁静脉怒张,胆囊区无压痛,移动性浊音不明显,膀胱明显充盈,皮肤粗糙,可见脱屑,皮肤及双下肢为非指凹性水肿。同位素检查:T_3 72ug/dL(正常100～200ug/dL);
Bear × ×, female, 46 years old, hospital number 1074. Polyuria, polydipsia, polydipsia, weight loss, fatigue 6 years, pre-hospital diagnosis of diabetes, had taken hypoglycemic, Xiao Kewan effect was not significant, but also because of the interruption of treatment of relapse increased half a month to hospital. Physical examination: normal body temperature, blood pressure 140 / 80mmHg, conscious, poor spirit, lazy words, dull reaction, skin wax yellow, facial and eyelid edema, lip thick. Left lung breath sounds weakened, the two lungs did not smell wet and dry rales, heart rate 80 beats / min, law Qi, apex can be heard and Ⅱ ~ Ⅲ Sm, confusion and shortness of breath, heart sounds far and low blunt, heart Enlarged to both sides, abdominal bulge, no abdominal vein, gallbladder area without tenderness, mobility dullness is not obvious, the bladder was significantly filled, rough skin, visible scaling, the skin and lower limbs are non-concave concave edema. Isotope test: T_3 72ug / dL (normal 100 ~ 200ug / dL);