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患者,男,22岁,因双侧第一蹠趾关节反复肿胀疼痛3个月,于1991年10月19日入院。查体:体温36.5℃,脉搏72次/分,血压16/10kPa,神清语明,周身皮肤未见皮疹及红斑,视力正常,球结膜无充血,巩膜无黄染,角膜透明,双肺正常,心界无扩大,心音有力,心率72次/分,节律规整,无心脏杂音,肝脾无肿大,双侧第一蹠趾关节红肿,活动受限,于左
The patient, male, 22 years old, suffered from repeated swelling and pain for the first metatarsophalangeal joint on both sides for 3 months and was admitted on October 19, 1991. Physical examination: body temperature 36.5 ℃, pulse 72 beats / min, blood pressure 16 / 10kPa, clear statement, skin rash and erythema throughout the body, normal vision, conjunctival hyperemia, scleral no yellow dye, corneal transparency, normal lungs , No expansion of the heart, strong heart sounds, heart rate 72 beats / min, regular rhythm, no heart murmur, no enlargement of liver and spleen, bilateral first metatarsophalangeal joint swelling, limited mobility, left