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患者男性,25岁。1周前因受伤、淋雨后出现畏寒、发热伴全身关节痛,以右膝关节为著,局部无红、肿及红斑、活动无受限。自服“阿斯匹林”效果不佳,于1994年10月22日入院。查:T 37.1℃、P 108次/分、R 22次/分、BP 12.0/8.0 kPa,咽部充血,双肺呼吸音粗,未闻及干湿性罗音;心率108次/分,律齐,各瓣膜听诊未闻及杂音。双侧腕、肘、膝、肩关节均有压痛,未见红肿,无皮下结节及环形红斑。化验室检查:血常规Hb 98g/L,WBC 13.0×10~9/L、N 0.83.L 0.17,血沉95mm/h、抗“O”≥800单位、粘蛋
Male patient, 25 years old. 1 week ago due to injury, chills after a rain, fever with body joint pain, to the right knee, local red, swollen and erythema, activity is not limited. Self serving “aspirin” ineffective, in October 22, 1994 admission. Check: T 37.1 ℃, P 108 beats / min, R 22 beats / min, BP 12.0 / 8.0 kPa, pharyngeal hyperemia, lung breath sounds coarse, unheard and wet and dry rales; heart rate 108 beats / min, law Qi, the valve auscultation has not heard and noise. Bilateral wrists, elbows, knees, shoulder joints have tenderness, no swelling, no subcutaneous nodules and annular erythema. Laboratory tests: blood Hb 98g / L, WBC 13.0 × 10 ~ 9 / L, N 0.83.L 0.17, erythrocyte sedimentation rate 95mm / h, anti “O”