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女患,39岁。因间断性出现左半侧舞蹈样发作于1985年6月24日来诊。1周前在工作中突然出现左侧肢体不自主地抽动,呈踢腿扬臂运动,有时碰伤自己手脚,每次发作连续抽动3～4次至数10次不等,每间隔数10分钟或2、3小时发作一次;其发作于情绪紧张时加重,安静休息时减轻,睡眠时消失。曾经几所医院均诊断为“风湿性舞蹈病”并进行相应治疗,但不见好转。既往有风湿性关节炎病史。体检:体温36.4℃,脉搏80次,血压16/10.7kPa(120/80mmHg)。神清、言语正常。心尖区听到Ⅱ级收缩期杂音和舒张期杂音,律整,心界不大.肺及腹部正常。面部表情及四肢活动自如,肌
Female suffering, 39 years old. Due to the intermittent presence of the left side of the dance-like episode in June 24, 1985 visit. A week ago suddenly appeared in the work of the left limb involuntarily twitched, kicking leg Yang arm movement, and sometimes bruises his hands and feet, each episode continuous twitching 3 to 4 times to several 10 times, every interval of 10 minutes Or 2, 3 hours attack; the seizures aggravate when sentiment is nervous, relieve when resting quietly, disappear while sleeping. Several hospitals have been diagnosed as “rheumatic chorea” and the corresponding treatment, but did not improve. Past history of rheumatoid arthritis. Physical examination: body temperature 36.4 ℃, pulse 80 times, blood pressure 16 / 10.7kPa (120 / 80mmHg). Clear, normal speech. Apex area to hear Ⅱ systolic murmur and diastolic murmur, law, the heart is not large, the lungs and abdomen normal. Facial expressions and limbs freely, muscle