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病情摘要患者,女性,63岁,于2015年3月21日入院。主诉:口干、多饮、多尿20年余,左足溃烂3月余。现病史:患者自诉20年前无明显诱因下出现口干、多饮、多尿症状,每日饮水量大于3000毫升,尿量明显增加,以夜尿增多为主,每晚5~6次,伴有多食易饥,无肢端麻木、皮肤瘙痒等症状,遂到当地医院就诊,发现血糖升高,具体血糖不详,诊断为糖尿病,予口服降糖药物治疗(具体不详),未监测血糖,曾到当地医院住院治疗,出院后一直规律使用胰岛素治疗,未定期
Summary of Disease Patients, female, 63 years old, admitted to hospital on March 21, 2015. Chief Complaint: dry mouth, drink more, more than 20 years of urine, left foot ulcers more than 3 months. Current history: The patient self-prosecution 20 years ago no obvious incentive to appear dry mouth, drink more, polyuria symptoms, daily drinking water is greater than 3000 ml, urine output increased significantly to nocturia increased mainly 5 to 6 times per night, Accompanied by eating easy hunger, no limbs numbness, itchy skin and other symptoms, then went to the local hospital for treatment and found that elevated blood sugar, specific blood sugar is unknown, the diagnosis of diabetes, oral hypoglycemic drugs (specifically unknown), not monitoring blood glucose , Had to hospital treatment in a local hospital, regular use of insulin therapy after discharge, not scheduled