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患者女,63岁,住院号22419。以全身关节疼痛2年余,复发一周加重三天,于1983年1月25日入院。因1981年9月屋外露宿后,引起全身酸软乏力,活动受限,两足底麻木,落地后似针扎难忍,且逐渐上移至膝关节、双肘、双肩关节疼痛,关节红肿但无游走痛。呈间断发作迁延二年。近三天燥热、口干、纳差、小便黄,门诊以类风湿性关节炎收入院。体查:体温38.0℃,呼吸20次/分,血压140/84毫米汞柱。体型肥胖,表情痛苦,仰卧位,皮肤干燥弹性差,未见黄染及出血点。口腔粘膜干燥无酮味。心肺、腹部未见明显异常。四肢关节无红肿热痛。白
Female patient, 63 years old, hospital number 22419. To more than 2 years of systemic joint pain, relapse increased three weeks a week, January 25, 1983 admission. After sleeping outside the home in September 1981, it caused systemic weakness, limited mobility and numbness on both feet. After landing on the ground, it seemed unbearable, and gradually moved up to the knee joint. The elbows and shoulders ached but the joints were swollen but not swollen Walking pain. Was interrupted seizures for two years. Nearly three days of hot, dry mouth, anorexia, urinary yellow, outpatient rheumatoid arthritis income hospital. Physical examination: body temperature 38.0 ℃, breathing 20 beats / min, blood pressure 140/84 mm Hg. Body fat, facial expression pain, supine position, poor dry skin elasticity, no yellow dye and bleeding points. Oral mucosa dry without ketone taste. Heart and lung, abdomen no obvious abnormalities. Joint pain without swelling and pain. White