病历摘要:女患,49岁,1982年11月19日入院。患者从1960年起两手指小关节肿痛,诊为类风湿性关节炎。间断服用强的松或氯喹。近二年来四肢关节肿痛发作频繁。1977年因右臂头静脉、右颈及右锁骨下静脉炎住外科,经强的松及肝素治疗后局部肿胀减轻。1979年及1982年又两次发作右臂贵要静脉炎。1979年起渐感两眼干燥、异物感。检查双眼角膜有点状混浊及云 Medical record summary: The female patient, 49 years old, was admitted on November 19, 1982. Patients from 1960 to two fingers swollen joints, diagnosed with rheumatoid arthritis. Intermittent prednisone or chloroquine. In the past two years, frequent swollen joints and joints. 1977 due to the right arm vein, right neck and right subclavian phlebitis surgery, prednisone and heparin after local swelling reduced. In 1979 and again in 1982 two episodes of your right arm with phlebitis. Gradually feel dry eyes since 1979, foreign body sensation. Check the cornea a little cloudy and clouds