论文部分内容阅读
患者男,63岁。主因近10年来先后出现足跟、胫骨、肋骨、椎骨、髂骨等处疼痛及腹部绞痛伴血尿,先后6次发生肾盂、输尿管、膀胱等处泌尿系结石,X线检查提示多处骨质疏松、肋骨病理性骨折,血硷性磷酸酶增高,为进一步诊治于1985年2月24日住院。体检:一般情况可,血压140/80mmHg,脉搏100次/min,呼吸28次/min。甲状腺不大,未扪及包块,无震颤及血管杂音。桶胸,心肺正常。腹软无压痛,肝脾未触及。两肋弓、剑突、第4胸椎棘突处压痛,四肢见指、趾端明显鼓锤状变。
Male patient, 63 years old. Mainly due to heel, cheekbones, ribs, vertebrae, cheekbones, etc. Pain and abdominal cramps with hematuria have occurred in the past 10 years. Urinary calculi have occurred in 6 cases of renal pelvis, ureter, bladder, etc. X-ray examination prompted multiple bones Loose, pathological fracture of ribs, increased blood phosphatase, hospitalized for further diagnosis and treatment on February 24, 1985. Physical examination: In general, the blood pressure is 140/80mmHg, the pulse is 100 beats/min, and the breath is 28 breaths/min. The thyroid gland is small, has no palpable mass, no tremors and vascular murmurs. Barrel chest, normal heart and lungs. Abdominal softness without tenderness, liver and spleen not touched. Two ribs, xiphoid, and thoracic vertebrae at the 4th thoracic spine were tender, and the limbs were visible and the toes were clearly hamstringed.