病历摘要女患,27岁。因四肢疼痛20天,持续性腹痛阵发性加重10天,于1984年9月2日入院。患者于入院前20天无明显诱因渐感四肢疼痛,以肢体近端为著,伴无力。10天后行动困难,并出现腹痛,由左上腹逐渐漫延为全腹痛,呈持续性阵发加剧,以腹痛待查收入病房。查体:体温36℃,脉搏68次/分。呼吸20次/ Female patient history, 27 years old. 20 days due to limb pain, persistent abdominal pain paroxysmal aggravate 10 days, on September 2, 1984 admission. Patients in the 20 days before admission, no obvious incentive to gradually feel limb pain, to the proximal part of the body, with weakness. After 10 days of difficulty in operation and abdominal pain, gradually spread from the left upper quadrant to full abdominal pain, with a persistent paroxysmal exacerbation, with abdominal pain to be admitted to the ward. Physical examination: body temperature 36 ℃, pulse 68 beats / min. Breathe 20 times /