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患者男,66岁,因双膝关节肿痛、活动障碍伴发烧10d 于1992年4月20日入院。10d 前患者感冒后出现双膝关节疼痛,轻度伸屈障碍,发热(T38℃),并轻度上感症状,经外院诊为风湿性关节炎,给予10%葡萄糖200ml 加地塞米松30mg 静脉滴注,共10d。治程中关节肿痛曾一度减轻,体温下降,但自第11d 起关节肿痛又重,憋胀不适,行走更加困难,并出现轻咳和胸闷,遂收住诊治。查体:T38℃,P84次/min,R22次/min,BP14/9kPa。发育正常,营养中等,神清,合作,皮肤粘膜无出血点及瘀斑。右肺呼吸音增粗,左
The patient, male, 66 years old, was admitted to hospital on April 20, 1992 because of swelling and pain in both knees and mobility disorder with fever 10 days. 10d before the onset of cold in patients with knee joint pain, mild flexion and extension disorders, fever (T38 ℃), and mild symptoms, the out-patient diagnosis of rheumatoid arthritis, given 10% glucose 200ml plus dexamethasone 30mg intravenous drip Note, a total of 10d. Treatment of joint swelling and pain had been alleviated, body temperature decreased, but since the first 11d from the joint swelling and pain, swelling and discomfort, walking more difficult, and the emergence of mild cough and chest tightness, then admitted to treatment. Physical examination: T38 ℃, P84 times / min, R22 times / min, BP14 / 9kPa. Normal development, moderate nutrition, clear, cooperation, skin and mucous membrane without bleeding and ecchymosis. Right lung breath tone thickening, left