1病例报告患者男,34岁,因“乏力20d,四肢肌肉伴下腹部疼痛6d”入院。入院后查体:神清语明,贫血外观,双肺呼吸音清,未闻及干湿性啰音,心率88次/min,律齐,各瓣膜听诊区未闻及病理性杂音,腹软,肝脾未触及,左上腹部有轻压痛,下腹部压痛明显,无反跳痛,四肢肌肉有轻压痛,四肢肌力肌张 A case report, male, 34 years old, was admitted to hospital because of “weakness 20d, limb muscle with abdominal pain 6d”. After admission, the examination body: God clear statement, anemia appearance, lung breath sounds clear, unheard and wet and dry rales, heart rate 88 beats / min, law Qi, the valve auscultation area has not heard of pathological murmur, abdominal soft , Liver and spleen not touched, the left upper abdomen with mild tenderness, tenderness in the lower abdomen, no rebound tenderness, mild tenderness in the limb muscles, muscle strength of the limbs