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患者某某,女,16岁,学生,于1981午11月感双膝、肩、及指关节游走性疼痛。1982年2月出现指关节肿胀,伴发热、疲乏。查体:体温37.2℃,脉搏84次/分,血压110/60mmHg,皮肤未见出血点、皮疹、红斑。巩膜无黄染,鼻腔、齿龈无出血。胸骨无压痛,心肺、腹部阴性。右腕及右手小指、左手食指、无名指指关节轻度肿胀,不红,压痛明显。实验室检查:血红蛋白9.5g%,红细胞
Patient XX, female, 16 years old, student, pain in knees, shoulders, and knuckles in November 1981. 1982 February knuckle swelling, with fever, fatigue. Physical examination: body temperature 37.2 ℃, pulse 84 beats / min, blood pressure 110 / 60mmHg, the skin no bleeding, rash, erythema. Sclera no yellow dye, nasal, gums without bleeding. Sternal no tenderness, heart and lungs, abdomen negative. Right wrist and right hand little finger, left index finger, ring finger joint mild swelling, not red, tenderness significantly. Laboratory tests: hemoglobin 9.5g%, red blood cells