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患者女,67岁,家庭妇女,未育。主诉左膝结核性关节炎8年,活动障碍2年余,肿痛6月余,破溃4月余。患者无肺结核病史和接触史,无食欲不振和乏力。时有低热。有糖尿病史5年。曾肌注过链霉素,口服抗结核药,伤口换药。未作系统连续抗结核、降糖治疗,使病情逐步加重,至膝关节活动丧失方住院。检查:患者慢性病容,左下肢屈曲,膝外翻,较右侧短3cm,左膝肿胀,肌肉萎缩,内侧有2个窦口,外侧1个窦口,周围暗
Patient female, 67 years old, housewife, offspring. The main complaint of left knee tuberculous arthritis 8 years, activity disorder more than 2 years, swelling and pain more than 6 months, ulceration more than 4 months. Patients had no history of tuberculosis and history of exposure, no loss of appetite and fatigue. When there is fever. Have a history of diabetes for 5 years. Had muscle injection streptomycin, oral anti-TB drugs, wound dressing. No systematic continuous anti-TB, hypoglycemic treatment, so that the disease gradually increased, to the loss of knee joint hospital activities. Check: Patients with chronic disease, left lower limb flexion, valgus knee, right than the short 3cm, left knee swelling, muscle atrophy, medial 2 sinus ostium, lateral 1 sinus ostia, around the dark