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患者,女,30岁。因全身肌肉关节酸痛5年,右侧肢体无力5天,于1990年10月29日入院。5年前始经常发热,乏力,全身肌肉关节酸痛,有时皮肤出现紫斑,未作治疗。5天前晨睡醒来觉右侧上下肢无力,右下肢跛行,语言不利,口角向左歪斜。无头痛、呕吐、抽搐及不省人事。体检:双上肢肱动脉压均9.5/8.5kPa,双下肢腘动脉压均14.5/8.5 kPa,双侧桡动脉摸不清,两侧颈动脉搏动减弱,未闻及血管杂音。心肺
Patient, female, 30 years old. Due to systemic muscle soreness for 5 years, right limb weakness for 5 days, admitted to hospital on October 29, 1990. 5 years ago often fever, fatigue, muscle soreness, and sometimes purple skin, untreated. Woke up on the morning of the 5th day and felt weakness on the right and left limbs, limp in the right lower limb, the language was unfavorable, and the diagonal left skewed. No headache, vomiting, convulsions and unconsciousness. Physical examination: brachial artery pressure of both upper extremities were 9.5 / 8.5kPa, both lower extremity arterial pressure was 14.5 / 8.5kPa, both sides of the radial artery invisible, weakened bilateral carotid pulsation, no smell and vascular murmur. Heart and lungs