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患者女性,24岁,农民。无明显诱因出现面及双下肢浮肿,尿少,劳动后心悸。四肢麻木胀痛,以肢端明显。全身大小关节疼痛。病程持续约2月,服草药无效,病情逐日加重,出现咳嗽、发热、气喘、头发脱落、全身皮肤搔痒伴红斑及水疱入院。体检:急性重病容,神清,唇轻度发绀、颜面潮红浮肿。体温38.5℃,脉搏110次/分,呼吸26次/分,血压100/70mmHg,咽充血,舌面光滑红绛带紫,口腔颊粘膜见大小不等之糜烂面及溃疡。心率110次/分,律齐、心音弱,无杂音。右下肺呼吸音明显减弱。肝右肋下2.5cm,质软触痛,脾左肋下2cm。双下肢膝以下明显凹陷浮肿,双膝关节及踝关节稍红肿,触觉、
Female patient, 24 years old, farmer. There is no obvious incentive to face and lower extremity edema, oliguria, after work palpitations. Numb limb pain, acromegaly obvious. Body size joint pain. Course duration of about 2 months, serving herbs invalid, the condition increased day by day, there cough, fever, asthma, hair loss, systemic skin itching with erythema and blisters admitted. Physical examination: Acute serious illness, God clear, mild cyanosis lips, face flushing edema. Body temperature 38.5 ℃, pulse 110 beats / min, breathing 26 beats / min, blood pressure 100 / 70mmHg, pharyngeal congestion, tongue smooth red purple with oral buccal mucosa see the erosion of the surface of different sizes and ulcers. Heart rate 110 beats / min, law Qi, weak heart sound, no noise. Lower right lung breath sounds significantly weakened. Right hepatic ribs 2.5cm, tender tenderness, spleen left ribs 2cm. Lower limbs below the knee obvious swelling edema, knees and ankle joints slightly inflamed, tactile,