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患者,女,30岁,复发性口腔溃疡10年,发现血压高3年,加重伴腰背部疼痛3天就诊.10年前因复发性口腔溃疡、皮肤针刺反应阳性诊断为白塞氏病,因病情不重,未服用任何药物.3天前该患者无明显诱因突然出现腰背部撕裂样疼痛伴大汗,疼痛剧烈不能忍受.入院时查体;体温36.3℃,脉搏80次/分;呼吸16次/分.血压25.3/18.6kPa.抬入病房,强迫卧位,表情痛苦,眼底无异常.口腔粘膜未新见溃疡,舌两侧可见溃疡愈合后形成的瘢痕.颈部无血管杂音,心肺听诊无异常,全腹平坦,上腹部正中可触及梭形包块,约2×4cm~2大小,边缘光滑,有触痛,并可闻及血管杂音.双上肢针刺后皮肤及周边红晕,有脓点,外阴部无溃疡.
Patients, female, 30 years old, recurrent oral ulcers for 10 years and found that high blood pressure for 3 years, increased with low back pain for 3 days treatment. 10 years ago due to recurrent oral ulcers, positive skin acupuncture diagnosis of Behcet’s disease, Due to illness is not heavy, did not take any medication .3 days ago, the patient had no obvious incentive to suddenly appear in the back and back tear-like pain with sweating, severe pain can not tolerate. Admission examination; body temperature 36.3 ℃, pulse 80 beats / min; Breathing 16 times / min. Blood pressure 25.3 / 18.6kPa. Into the ward, forced supine, facial expression pain, no abnormalities in the eyes .Oral mucosa no ulcers, visible on both sides of the tongue ulcers healing scars .No vocal neck noise , Cardiopulmonary auscultation no abnormalities, the whole belly flat, the middle of the upper abdomen can reach the fusiform mass, about 2 × 4cm ~ 2 size, smooth edges, tenderness, and can smell and vascular murmur. Flush, pus point, no ulcer vulva.