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男性,55岁。烦渴、多饮、多尿8个月。患者约8个月前无明显诱因出现烦渴、多饮、多尿,日饮水量约4000ml,喜流食,日尿量约3500ml,夜尿3次左右,感疲乏,无明显易饥、多食,无烦躁易怒、怕热多汗,未予重视。发病以来精神、睡眠无明显变化,大便正常,体重下降3kg。既往体健,无高血压、冠心病病史。无烟酒嗜好。子女体健,母亲患2型糖尿病。查体:T36℃,P72次/分,R18次/分,BP130/80mmHg。身高163cm,体重76kg。双肺未闻及干湿性啰音。心界不大,心率72次/分,律齐,各瓣膜区未闻及杂音。腹平软,无压痛,肝脾肋下未触及,移动性浊音(-),脊柱四肢无异常,生理反射存在,病理反射未引出。实验室检查:血常规:Hb130g/L,WBC5.5×109/L,Plt120×109/L。尿常规:尿糖(-),尿酮体(-),尿蛋白(-)。随机血糖15mmol/L。肝肾功能、血清电解质和二氧化碳结合力正常。要求:根据以上病历摘要,请写出初步诊断、诊断依据(如有两个以上诊断,应分别写出各自诊断依据,未分别写出扣分)、鉴别诊断、进一步检查与治疗原则。

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