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例1:男,36岁。双膝、踝、脚掌关节疼痛,伴低热,活动时痛加重,抗“O”1∶400,血沉第一小时31毫米,第二小时75毫米。按关节炎治疗后症状无好转,恶心、厌油,肝区痛,肝肋下1cm,质软有压痛。肝功能SGPT500单位以上,HBsAg阳性,硷性磷酸酶11单位,免疫球蛋白IgG2713.5mg、IgA IgM正常,诊断为乙型肝炎收入院。经综合保肝治疗。2周后症状消失,46天后临床治愈出院。例2,男,31岁。因双膝、髋、腰椎关节疼痛3天入院。查体:肝肋下1.5cm,质软,有触痛。双膝、髋、腰椎关节无红肿,压痛明显,活动受限。结
Example 1: Male, 36 years old. Knee, ankle, foot and joint pain, with fever, activity increased pain, anti “O” 1: 400, erythrocyte sedimentation rate of 31 millimeters in the first hour, 75 millimeters in the second hour. According to arthritis symptoms no improvement, nausea, tired of oil, liver pain, liver ribs 1cm, soft tenderness. Liver function SGPT500 units, HBsAg-positive, alkaline phosphatase 11 units, immunoglobulin IgG2713.5mg, IgA IgM normal, diagnosed as hepatitis B income hospital. The comprehensive liver treatment. Symptoms disappeared after 2 weeks and were cured after 46 days. Example 2, male, 31 years old. Due to knees, hips, lumbar joint pain 3 days admitted. Physical examination: liver rib 1.5cm, soft, tenderness. Knees, hips, lumbar joint no swelling, tenderness, limited mobility. Knot