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风湿病由于临床表现各种各样,涉及各学科,加之医生对此类病认识不足而延误诊断得不到及时治疗,终至晚期才被认定而不愈死亡率上升13％,下面介绍4例病史长达30年才被认定混合性结缔组织病(MCTD)的病例,并加以分析探讨。 1 临床资料 例1,女,50岁,以发热、咳嗽20天,心前区痛15天住院,30年前患风湿性关节炎,15年来受凉,手指变白,口眼干燥。查:T38℃,发稀疏,双肺湿鸣,心左界大,心音低钝,肝脾不大,手指关节触痛。
Rheumatism due to a variety of clinical manifestations, involving various disciplines, coupled with doctors lack of knowledge of such diseases delay diagnosis can not be timely treatment, and finally was late identified as unhealed death rate increased by 13%, the following 4 cases Case history of up to 30 years was identified mixed connective tissue disease (MCTD) cases, and to analyze and explore. 1 clinical data example 1, female, 50 years old, with fever, cough for 20 days, precordial pain 15 days hospitalized, 30 years ago suffering from rheumatoid arthritis, 15 years of cold, fingers white, dry mouth. Check: T38 ℃, sparse hair, lungs wet Ming, left heart of the heart, heart sounds low blunt, liver and spleen, finger joint tenderness.