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病例资料患者,女,39岁,主因“双下肢乏力伴疼痛1年,加重4个月”于2013年12月10日入院。于2012年12月开始,无明显诱因出现双下肢乏力伴疼痛,以久站或运动后尤甚,经休息后缓解,日常生活无明显障碍。2013年8月上述症状加重,出现翻身、起立困难,无法独立行走及负重,伴双侧胸肋部及双髋疼痛,症状进行性加重。为进一步治疗,收入我科。患者平日饮食习惯良好,否认挑食,蛋奶肉摄入量可,否认长期不接触阳光。
Case data Patients, female, 39 years old, mainly due to “double lower extremity fatigue with pain for 1 year, aggravating for 4 months” was admitted on December 10, 2013. From December 2012 onwards, there is no obvious incentive to appear with lower extremity weakness and pain, particularly after a long period of standing or exercise, relieved after a rest, no obvious obstacles to daily life. In August 2013, the above symptoms were aggravated, with turning over, difficulty in standing up, unable to walk independently and weight-bearing with pain in bilateral thoracic ribs and double-hips, and the symptoms worsen. For further treatment, income in our department. Patients with good diet on weekdays, denied picky eaters, eggs, milk intake can be denied long-term exposure to sunlight.