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陆××,男,47岁。1976年起时有四肢关节酸痛、低热、乏力和血沉增快。曾行抗风湿治疗,症状改善不著。髋、踝关节及足跟疼痛尤剧。1977年8月突然双膝无力,不能站立,继之出现软瘫,查血钾为1.9毫当量/升,即予以补钾,症状随即缓解。至1978年9月两下肢再次软瘫而住某院医治,其间出现心律不齐,心电图示“房性期前收缩”。摄左髋X线片示“左股骨颈及大粗隆处明显脱钙”,拟为“左髋关节脱钙原因待查”,予以肌注维生素D_2及口服钙片,住院70天出院,此后又出现腰酸及尿道刺激症状。查尿:
Lu × ×, male, 47 years old. Since 1976, when there are joint pain, fever, fatigue and ESR faster. Had anti-rheumatic treatment, symptoms do not improve. Hip, ankle and heel pain particularly dramatic. August 1977 suddenly knees, can not stand, followed by a soft paralysis, check the potassium is 1.9 meq / l, that is to be potassium, the symptoms ease. To September 1978 two lower extremities again paralyzed and lived in a hospital for medical treatment, during which there arrhythmia, ECG shows “atrial contraction.” Take the left hip X-ray showed “left femoral neck and greater trochanter decalcification”, intended to “left hip decalcification reasons to be investigated,” intramuscular injection of vitamin D_2 and oral calcium, 70 days hospital discharge, since Backache and urethral irritation appear again. Check urine: