患者男,干部,65岁。住院号199444。因全身关节肿痛18年,尿量减少、呕吐、黑便3个月于1986年4月4日入院。患者1968年开始四肢关节肿痛,活动障碍,逐渐波及全身大小关节,以两膝及指趾关节为甚,夜间尤痛,当地诊断为“类风湿关节炎”,反复用强的松、阿斯匹林、炎痛喜康等治疗,疼痛仅可暂时减轻。1986年关节肿痛转剧,日尿量减至400ml,解黑便,呕吐咖啡样 Patient male, cadre, 65 years old. Hospital number 199444. Due to systemic joint pain and pain for 18 years, decreased urine output, vomiting, melena 3 months on April 4, 1986 admission. Patients with joint swelling and pain in the limbs in 1968, dyskinesia, and gradually spread to the size of the whole body joints, knee and toe joints is even worse at night especially painful, local diagnosis of “rheumatoid arthritis,” repeatedly with prednisone, Aspen Hippocampus, Yan Tong Kang and other treatment, pain can only temporarily reduce. Joint swelling and pain in 1986 drama, urine volume reduced to 400ml, black solution, vomit coffee-like