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Non-ulcer dyspepsia and gastric emptying of EGG
duceddyrhythmia. DigDisSic · 1987.32: 1027 - (Received :1995-06-25 Revised :1995-121.) (This edit Suning) 2J insulin-induced edema in a case of Ji plastic body height of male patients, aged 42, worker. 2 years ago, there is more drinking, more feces, weight loss. Check fasting blood glucose several times greater than 11.1Ommol / L. Denied that there was However, the long-term poor diet. 1 month because of recent exacerbation of the symptoms admitted to our hospital. T check the body temperature 36.8 ℃. 8O pulse / min. Breathing 20 times / min,[link widoczny dla zalogowanych], blood pressure 13/8kPa (97.5/60mmHg). Height 173cm, weight 51.5kg. Heart, lungs were normal, liver ribs 1.5cm. Spleen no time, no lower extremity edema. Laboratory tests: fasting blood glucose 19.92mmol / L. 2-hour postprandial blood glucose 31.52mmol / L, c peptide release test; 0 minutes 0.3 ~ g / L. 30 minutes to 0.4 ~ g / L, 60 分钟 0.5 ~ g / L,[link widoczny dla zalogowanych], 120 分钟 0.3 ~ g / L. 180 minutes 0.1 ~ g / L. Potassium 3.61mmol / L. Sodium 13.9mmoi / L,[link widoczny dla zalogowanych], cyanide 108mmol / L. Calcium 2.17mmoi / L. P 1.07mmoi / L, magnesium 0.90mmoi / L. Total bilirubin tangled 5.30 ~ mol / L, direct bilirubin tangled 1.54. umol / L. Indirect bilirubin index 3.76 ~ moi / L, total protein 52.5g / L, albumin 34.8g / L. Globulin l7. Strong, L, alanine aminotransferase 8Iu, L. Aspartate aminotransferase 8Iu children. Blood urea chloride 9.6mmol / L, creatinine 8mol / L. Show urine protein negative, feces ketone (++). Feces sugar (+++)。 Blood pH7.425. Pa12.6kPa (94.7mmHg), call the remaining (EB) - 3.8mmoi / L. Admission control by diet and gliclazide and other Japanese clothing hypoglycemic medication. Decrease blood sugar is not obvious, use regular insulin 8U, 4U, 6u and 8U at breakfast, dinner and bedtime subcutaneous injection before 3O minutes, fasting blood glucose decreased to 7.83mmol / L. 2-hour postprandial blood glucose is 16. O3mmoi / L,[link widoczny dla zalogowanych], review of electrolytes, liver and kidney function, normal feces were normal. But patients gradually increased to 5 days weight 63kg. Sense of chest tightness, shortness of breath. High pillow lying. Check: whole body skin tight, shiny, chest wall, under the of the scrotum and two units: 3] 0009 Second Affiliated Hospital of Zhejiang Medical University, s3 IR77ff foot limb edema may be concave; double inferior pulmonary percussion dullness. Decreased breath sounds, abdominal positive shifting dullness. 13-show: the chest, abdominal effusion (both using the same batch Insulin feces of other patients with no such sugar edema). Novo Nordisk who use genetic engineering of islet tangled (AetrapldHM). And be spironolactone, furosemide,[link widoczny dla zalogowanych], albumin and other symptomatic treatment, edema is still not clear that the disabled Insulin in favor of the United States adjacent to, and metformin therapy, the patient urine output increased significantly. Daily 2500 ~ 400Ora1. Generalized edema rapidly subsided. 4 days later. Weight back to 51kg, the general conditions improve. But fasting blood glucose rose to 21.1mmol / L. 2-hour postprandial blood glucose 34.8mmol / L. Automatically discharged. After 3 months. Outpatient follow-up of patients, have once again try to teach a small amount of insulin regular and long tangled. Edema of lower limbs appeared 3 days by the weight gain 5kg. Discuss the relatively young age of onset, low birth weight, c the whole peptide secretion, but the obvious tendency to ketosis, which may be delayed I-sugar feces disease (LADA). No significant liver and kidney dysfunction. By diet and hypoglycemic effects on poor service, in favor of Insulin. Blood glucose decreased significantly, but it appears the body height of edema. Disabled after islet tangled. Please return the rapid edema. According to the literature. Insulin response to common use. Shows a low blood sugar, allergic reactions and injection of local skin irritation, fever, subcutaneous nodules and subcutaneous fat atrophy [. Rarely cause severe systemic edema. Speculate that patients with pancreatic edema may promote tubular reabsorption of sodium tangled, causing Shuinazhuliu and so on.
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