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第一次查房讨论(1989年10月28日) 进修医师:本例为青年男性,病程呈慢性经过,有复发及缓解,临床表现复杂,涉及到多系统及脏器。①运动系统:表现为肌无力、肌痛、肌萎缩、血清肌酶升高;②肾脏损害:表现为烦渴、多饮、多尿、夜尿增多、低比重尿;③水电解质酸碱平衡失调:表现为低血钠、低血钾、低血钙、高血氯、酸中毒;④肝脏损害:表现为黄疸,SGPT升高;⑤免疫学指标异常:表现为高γ-球蛋白血症,血IgG升高,补体C_3降低;⑥肺部感染。
First round of discussion (October 28, 1989) Trainee Physician: This case is a young male with a chronic disease course, recurrence and remission, complicated clinical manifestations involving multiple systems and organs. ① motor system: manifested as muscle weakness, muscle pain, muscle atrophy, serum creatinine increased; ② kidney damage: the performance of polydipsia, polydipsia, polyuria, nocturia, low specific gravity urine; ③ water and electrolyte acid-base balance disorders : Manifested as hyponatremia, hypokalemia, hypocalcemia, hypercholesterolemia, acidosis; ④ liver damage: performance of jaundice, SGPT increased; ⑤ immunological abnormalities: the performance of high γ-globulin, Elevated blood IgG, complement C_3 decreased; ⑥ pulmonary infection.