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病历摘要:某女,20岁、工人,二年余来反复全身关节疼痛,每经口服阿斯匹林、肌注青霉素G治疗后症状缓解,但因胃肠反应,未坚持治疗。1984年8月18日受凉后咽部不适、充血、全身关节游走性疼痛;血常规:血红蛋白115g/L,红细胞389 10~(12)/L,白细胞11.2 10~9/L,中性粒细胞84%,淋巴细胞16%,血沉84mm/h,拉链球菌素“O”800。肌注青霉素G,口服炎痛喜康首次40mg/d,第二天20mg/d后,21日晚排出洗肉水样小便,次日查尿常规:淡红色,蛋白+,红细胞册,白细胞少,上皮细胞+、停炎痛喜康,改服肠溶阿斯匹林,24日尿常规:蛋白少许、红细胞、白细胞少,上皮细胞+,28日尿常规:黄色清亮,蛋白-,白细胞少,上皮细胞+,随访一年尿常规正常。
Medical record Abstract: A woman, 20 years old, worker, more than two years after repeated systemic pain, oral administration of aspirin, intramuscular injection of penicillin G after treatment to relieve symptoms, but due to gastrointestinal reactions, not insist on treatment. On August 18, 1984, throat discomfort, hyperemia and systemic pain were found in the throat after he got cold. The blood was hemoglobin 115g / L, erythrocyte 389-10-12 / L, white blood cell 11.2 10-9 / L, neutrophil 84% of cells, 16% of lymphocytes, erythrocyte sedimentation rate 84 mm / h, and streptococcal “O” 800. Intramuscular injection of penicillin G, the first oral Yikang Kikang 40mg / d, the next day after 20mg / d, the discharge of scouring water on the 21st night urinate urine the next day routine examination: pink, protein +, red blood cell album, leukopenia , Epithelial cells +, stop Yacheng Xikang, change clothes enteric-coated aspirin, 24 urine: a little protein, red blood cells, less white blood cells, epithelial cells +, 28 urine: yellow clear, protein -, leukopenia , Epithelial cells +, followed up for one year urine routine normal.