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----------------------------------------------------------------------------------------主訴:

Higher blood sugar for one years, withour control.

病史:

This 62 y/o male patient is a case of diabetes mellitus was noted for 2 years, without medication control, 2 Acute renal failure after hemodialysis 3 Body weight loss 10 kgw in one years, 4 Alcohol abuse for nearly 50 years He complained polyuria, polydepsia and general weakness for one month.

He was sent to our nephro outpatient department, where blood sugar up to 638mg/dl BUN:30mg/dl, Cr:1.7mg/dl, Urine protein(-) ,Na:132, k:4.5.

Under the impression of Type 2 diabetes mellitus 2 Acute on chronic renal failure 3 Hyponatremia.

He was admitted to our ward for further treatment.

住院診斷

1.type 2 diabetes mellitus, poor continl

2.alcoholism, alcohol abuse 50 years

3.acute on chronic renal insufficiency

4.pseudo hyponatremia

診療計畫

1.checked finger sugar qid/ac

2.IV fluid hyderation

3.Actrapid 6u tid/ac

4.Insulatard 8u sc hs

5.DM diet 1750 kcal/day

6.According sugar adjust insulin

2 個解答

評分
  • 1 0 年前
    最佳解答

    主訴:

    Higher blood sugar for one year, without control.

    血糖偏高已有一年之久,未使用藥物控制 (withour→without)

    病史:

    This 62 y/o male patient is a case of diabetes mellitus was noted for 2 years, without medication control,

    2 Acute renal failure after hemodialysis 3 Body weight loss 10 kgw in one year,

    4 Alcohol abuse for nearly 50 years He complained polyuria, polydepsia and general weakness for one month.

    1.此一62歲男性病患為發病已兩年的糖尿病病例,且未使曾用藥物控制。

    2.洗腎(血液析離)後產生急性腎衰竭。

    3.一年內體重減輕10公斤。

    4.酗酒(酒精過量)近50年。他並抱怨頻尿且近一個月身體相當虛弱。

    He was sent to our nephro outpatient department, where blood sugar up to 638mg/dl BUN:30mg/dl, Cr:1.7mg/dl, Urine protein(-) ,Na:132, k:4.5.

    他被送至本院腎臟科看門診時,血醣高達638毫克/分升︰血液尿素氮30毫克/分升,鉻含量1.7毫克/分升,尿蛋白質(-) ,鈉含量132,鉀含量4.5。

    Under the impression of Type 2 diabetes mellitus 2 Acute on chronic renal failure 3 Hyponatremia.

    由於第二型糖尿病、嚴重慢性腎功能不全與低血鈉症的影響,

    He was admitted to our ward for further treatment.

    他被建議送至我們的加護病房進一步治療。

    住院診斷

    1.type 2 diabetes mellitus, poor continual 二型糖尿病 頻尿

    2.alcoholism, alcohol abuse 50 years 酒精中毒 酗酒50年

    3.acute on chronic renal insufficiency 嚴重慢性腎功能不全

    4.pseudo hyponatremia 假性低血鈉症

    診療計畫

    1.checked finger sugar qid/ac 施行手指血糖測試

    2.IV fluid hyderation 流質水化反應

    3.Actrapid 6u tid/ac 胰島素

    4.Insulatard 8u sc hs 因速來達胰島素注射液

    5.DM diet 1750 kcal/day 節制飲食 (1750大卡/天)

    6.According sugar adjust insulin 依糖調製胰島素

  • 1 0 年前

    1. Higher blood sugar for one years, withour control一年的更高的血糖,withour 控制

    2. 這62 y/o男病患是一箱糖尿病mellitus以2 年著名, 沒有藥物控制, 2 厲害腎失敗在hemodialysis 3 身體減肥10 kgw在一年內之後, 差不多50 年4酗酒他抱怨polyuria,polydepsia和一般的弱點一個月。

    他給我們的nephro門診部寄給,在那裡血糖到小圓甜麵包638毫克/分升︰30毫克/分升,鉻︰1.7毫克/分升,尿蛋白質(-) ,鈉︰132,k:4.5。

    在在慢性腎的失敗3 Hyponatremia上急性對2 類型糖尿病mellitus 2的印象下。

    他被允許進入我們的病房更進一步的治療。

    3. 1.列印2糖尿病mellitus,貧窮的continl

    2.酗酒,酗酒50 年

    3.在慢性腎的不充分上急性

    4.假的hyponatremia

    4. 1.檢查手指糖qid/ac

    2.IV 易流動的hyderation

    3.Actrapid 6 u tid/ac

    4.Insulatard 8 u sc hs

    5.德國馬克飲食1750 kcal/day

    6.依照糖調整胰島素

    參考資料: 網路
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