主述:
头晕 恶心 2小时
现病史: 患者于2小时前突发头晕 恶心. 无呕吐症状.
既往史: 无
体检: 神志清醒 心率 90 次/分 呼吸 26 次/分 心肺正常
腿软 四肢活动度正常 血压 100/70 mmHg.
辅助检查结果: Blood-RT(-) 血糖 2.7 mmol/L
初步诊查: 低血糖
治疗意见: 1.卧床休息,补充
高血糖饮食
2.饮食规律
3.不适随诊
Patient's Complain: dizziness and nausea for 2 hours
Hpi: dizziness and nausea suddenly fit 2 hours ago without vomiting.
PMH: no
Physical check-ups: conscious, heart rate:90/ min. breathe: 26 times/min. Cardiopulmonary function: normal. Skelasthenia. Extremities:normal. Blood pressure :100/70 mmHg activity.
Auxiliary examination results: Blood - RT (-) Blood glucose: 2.7 mmol/ L
Diagnose : low blood glucose
Advice: 1. stay in bed, high sugar diet supplementary.
2. regular diet
3. follow-up when feeling worse