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杨某,男性,20岁,战士,病案号15366。患者于1974年2月19日感全身不适,左腕关节肿痛,活动不便。次日上述关节症状消失,但感畏寒发热(39.6℃),伴有左膝关节红肿痛,行走不便,经按“感冒”治疗无效而于1974年2月25日入院。体检:体温38.7℃,脉搏108次/分,血压148/96毫米汞柱,呈急性热病容,皮肤正常,浅在淋巴结不大,咽部充血,双侧扁桃体Ⅰ°肿大,心肺及腹部正常,左膝关节红肿有压痛,浮髌试验阴性,神经系统检查无异常。实验室检查:血色素11.7克%,白细胞14,700,中性85%,酸性1%,大小便常规正常,血沉73毫米/1小时,
Yang, male, 20 years old, soldier, medical record number 15366. February 19, 1974 patients with general feeling of discomfort, swelling and pain in the left wrist, activity inconvenience. The next day the above symptoms disappeared, but a sense of chills fever (39.6 ℃), accompanied by swelling and pain in the left knee, walking inconvenience, according to “cold” treatment was invalid and in February 25, 1974 admission. Physical examination: Body temperature 38.7 ℃, pulse 108 beats / min, blood pressure 148/96 mm Hg, acute fever, normal skin, light lymph nodes, pharynx hyperemia, bilateral tonsil I ° enlargement, normal heart and lungs and abdomen , Left knee joint swelling and tenderness, floating patella test negative, nervous system examination was normal. Laboratory tests: hemoglobin 11.7 g%, white blood cells 14,700, neutral 85%, 1% acidic, normal urine normal, erythrocyte sedimentation rate 73 mm / 1 hour,