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例1:男,45岁,因四肢骨疼一年余,1989年7月6日入院。1988年5月起,出现四肢骨疼、无力,逐渐加重;后有跛行、驼背,身长由165cm缩短至161cm,并有口渴、多饮、多尿,尿量每日约5000ml。外院按“关节炎”、”肌无力“给止疼药、中药及针炙治疗,不见好转。查体:体温、脉搏、呼吸、血压正常。左颈部相当于甲状腺部位可触及3×3×3cm包块,光滑,活动,未闻及血管杂音。脊柱侧弯及后凸,四肢肌肉萎缩,其骨骼均有疼痛。B超:相当于甲状腺右叶部位探及2.9×2.7×2.1cm囊实性占位,双肾内多发结石;X光片:双手及四肢骨呈囊性密度减低,骨小染
Example 1: Male, 45 years old, with more than one year of limb pain, admitted to hospital on July 6, 1989. May 1988, there limb pain, weakness, and gradually increased; after a limp, humpback, length from 165cm shortened to 161cm, and thirst, polydipsia, polyuria, urine output of about 5000ml daily. Outside the hospital by “arthritis”, “muscle weakness” to painkillers, traditional Chinese medicine and acupuncture treatment, but no improvement. Physical examination: body temperature, pulse, breathing, normal blood pressure. Left and neck equivalent to the thyroid area can reach 3 × 3 × 3cm mass, smooth, activity, no smell and vascular murmur. Scoliosis and kyphosis, limb muscle atrophy, the bones have pain. B ultrasound: the equivalent of the right lobe of the thyroid exploration and 2.9 × 2.7 × 2.1cm cystic solid mass, multiple intra-renal calculi; X-ray: the hands and limbs decreased cystic density, small bone lesions