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患者女,30岁,病期一个月。因感冒、咽痛、咳嗽,续而渐感四肢肌痛,肌无力。在本单位医院诊为风湿性肌炎,经治无效,病情逐渐加重致不能抬头、端碗,生活不能自理、卧床不起。于1984年12月5日送我院内科就诊,诊断为肌炎原因待查。血沉29mm/第一小时,次日查24小时尿肌酸252mg,肌酐1036mg。因皮肤反复出现风块,于12月19日考虑皮肌炎收我科。既往健康,3个月前曾足月平产,产前及产褥期血压正常。入院时体温、脉搏、呼吸正常,血压210/130mmHg,慢性病容,神志清楚,五官、心肺、肝脾均无特殊。皮肤科情况:全身见少许散在性风块,
Female patient, 30 years old, period of one month. Due to a cold, sore throat, cough, continued to gradually feel limb muscle pain, muscle weakness. In the hospital unit diagnosed with rheumatic myositis, the rule invalid, the condition gradually aggravated can not be looked up, bowls, life can not take care of themselves, bedridden. On December 5, 1984 sent to our hospital medical treatment, diagnosis of myositis to be investigated. Erythrocyte sedimentation rate 29mm / first hour, the next day check urine creatine 252mg 24 hours, creatinine 1036mg. Due to repeated skin winds, consider December 19 dermatomyositis received my department. Past health, 3 months ago had full-term pregnancy, prenatal and post-natal normal blood pressure. Admission temperature, pulse, breathing is normal, blood pressure 210 / 130mmHg, chronic disease, conscious, facial features, heart and lung, liver and spleen are no special. Dermatology: the body see a little scattered in the wind,