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我是1名从事临床护理工作20余年的护士,见证了许多疑难复杂病的诊疗经过和转归。近来,我院收治1例自身免疫性疾病患者的诊疗和转归给我带来许多思考与启发。现将其诊疗经过与转归报告如下。1临床资料患者男,46岁。无疫水接触史,无烟酒嗜好,已婚。于2010年2月中旬,无明显诱因出现双手指关节、腕关节疼痛、红肿,病情逐渐加重,2010年5月初就诊于天津北辰医院,查ESR 60 mm/h,诊断不详,给予药物(具体不详)口服治疗后,
I am a nurse working in clinical nursing for more than 20 years and have witnessed the diagnosis and treatment of many complicated and complicated diseases. Recently, my hospital admitted to a case of autoimmune disease diagnosis and treatment of patients brought me a lot of thinking and inspiration. Now the diagnosis and treatment after the outcome of the report as follows. 1 Clinical data Patient male, 46 years old. No exposure to water history, non-alcoholic drinks and tobacco hobby, married. In mid-February 2010, there was no obvious incentive to have bilateral knuckles and wrist pain and swelling. The patient’s condition gradually aggravated. At the beginning of May 2010, he was treated in Tianjin Beichen Hospital for an ESR of 60 mm / h. The diagnosis was unknown and the drug was given After oral treatment,