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病历摘要患者王×,女,15岁。因反复发热、腹泻、游走性关节痛两月于1987年1月24日入院。患者自1986年11月下旬开始发热,体温在38～39℃之间。心悸、胸闷、轻咳;恶心,食欲不振,有时呕吐胃内容物及胆汁;阵发性左上腹痛,并腹泻(稀水样便),无脓血,无里急后重。乏力。两侧腕关节红、肿、痛。当时未作处理。1986年12月初,两侧踝关节亦红、肿、痛。上述诸症状逐渐加重,故到当地卫生院就诊,查血沉:血沉快(数字不详),以
Patient summary Wang ×, female, 15 years old. Due to repeated fever, diarrhea, migratory joint pain in January two on January 24, 1987 admission. Patients from the beginning of late November 1986 fever, body temperature between 38 ~ 39 ℃. Palpitations, chest tightness, light cough; nausea, loss of appetite, and sometimes vomiting stomach contents and bile; paroxysmal left upper quadrant pain and diarrhea (watery stools), no sepsis, no tenesmus. Fatigue. Both sides of the wrist red, swollen, pain. Not dealt with at the time. Early December 1986, both sides of the ankle is also red, swollen, painful. The above symptoms gradually aggravate, so to the local hospital for treatment, check erythrocyte sedimentation rate: fast (unknown) to