论文部分内容阅读
患者,女,30岁,因“发热、喘息,伴下肢麻木乏力2天”收治入院。10个月来因“全身胶原病”口服强的松10～45mg/日(平均25mg/日)。查体:T38.7℃,R22次/分,血压21/12kPa,满月脸,巩膜无黄染,结膜无充血,双瞳孔等大等圆,对光反射存在,颈静脉无怒张,甲状腺不大,双肺闻及哮鸣音,心尖区闻及Ⅱ级收缩期杂音,无心包摩擦音,HR94次/分,早搏3～4次/分,肝脾肋下未及,两踝关节以下痛觉减退。实验室检查:肝、肾功能、LDH及
Patients, female, 30 years old, due to “fever, wheezing, fatigue with lower limb numbness 2 days” admitted to hospital. 10 months due to “systemic collagen disease” oral prednisone 10 ~ 45mg / day (average 25mg / day). Examination: T38.7 ℃, R22 beats / min, blood pressure 21 / 12kPa, full moon face, scleral no yellow dye, conjunctival hyperemia, double pupil and other large circle, the presence of light reflex, jugular vein without tension, thyroid Large, lung smell and wheeze, apex area smell and Ⅱ systolic murmur, no pericardial friction sound, HR 94 beats / min, premature beats 3 to 4 beats / min, liver and spleen is not under the ribs, below the two ankle joint pain hypodense . Laboratory tests: liver, kidney function, LDH and