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1990年10月30日查房——主任医师请实习医生报告病史。实习医生患者男,49岁,干部。因水肿、面色苍白8年,心悸、胸闷20天为主诉于1990年10月24日入院。患者近8年来无诱因反复出现双下肢及面部水肿、时常头晕、乏力、怕冷、记忆力减退、反应淡漠、动作笨拙。曾多次在门诊检查,均诊断为“贫血”,血红蛋白维持在60～80g/L 之间,曾用“铁剂”及肌注“维生素 B_(12)”等治疗,症状无明显缓解。近20天来因“感冒”后,面部水肿加剧,
October 30, 1990 rounds - the chief physician asked the intern to report the medical history. Intern patient male, 49 years old, cadre. Due to edema, pale 8 years, palpitations, chest tightness 20 days mainly complained on October 24, 1990 admission. Patients with no incentive for the past 8 years, repeated lower extremities and facial edema, often dizziness, fatigue, cold, memory loss, reaction indifference, clumsy movements. Has repeatedly in the clinic, were diagnosed as “anemia”, hemoglobin maintained at 60 ~ 80g / L between the “iron” and intramuscular injection of “vitamin B_ (12)” and other treatment, the symptoms were not significantly alleviated. Nearly 20 days because of “cold”, facial edema intensified,