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糖尿病和尿崩症均为内分泌系统疾病中的常见病,但二者并存十分少见。由于二病症状相似,可能互相掩盖,容易漏诊。同时如不能二病兼治,除收不到预期的疗效外,还可造成严重后果。现将我院收治的4例介绍如下。1 临床资料例1 女性、55岁,1990年2月19日以烦渴,多饮,多尿4个月疑尿崩症住院,当时体检除轻度脱水征外无特殊所见,尿量每日6~10L,尿糖(++),尿比重1.020~1.003,血糖12.9~16.8mmol/L糖基化血红蛋白(GHb)1310D/10gHb,血浆渗透压325mosm/kgH_2 O,尿渗透压
Diabetes and diabetes insipidus are common diseases of endocrine system diseases, but the two co-exist very rare. As the two symptoms similar to each other may be covered with each other, easily missed. At the same time if you can not cure both disease and illness, in addition to not receiving the expected effect, but also can have serious consequences. Now 4 cases admitted to our hospital are as follows. 1 Clinical data Example 1 Female, 55 years old, February 19, 1990 with polydipsia, polydipsia, polyuria 4 months suspected diabetes insipidus hospitalization, physical examination at the time except for mild dehydration levy no special see, urine output per Day 6 ~ 10L, urine sugar (++), urine specific gravity 1.020 ~ 1.003, blood glucose 12.9 ~ 16.8mmol / L glycosylated hemoglobin (GHb) 1310D / 10gHb, plasma osmolality 325mosm / kgH 2 O,