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病历摘要康×,女,33岁,住院号113832。1977年8月13日因不规则发热,关节痛和颜面皮疹入院。血沉90mm 第一小时末,LE 细胞阳性,球蛋白3.78g/dl,其中γ32%,肝功能损害(ZnTT15u),诊断为系统性红斑狼疮(SLE)。当时心率100次/分左右,心音弱。胸部 X 线检查见肺动脉段平直,心电正常,血压130/90,血常规正常,尿蛋白(±),经中药治疗三个月,消失狼疮细胞转阴,但仍有不规则低热,心率和血沉快。出院后继续服中药。间断服用强的松。1981年下半年起经常腹泻。1982年初屡有发作性抽搐,无神经系统定
Medical records Kang ×, female, 33 years old, hospital number 113832. August 13, 1977 due to irregular fever, joint pain and facial rash admission. ESR 90mm at the end of the first hour, LE cells were positive, globulin 3.78g / dl, including γ32%, liver damage (ZnTT15u), diagnosed with systemic lupus erythematosus (SLE). Heart rate was 100 beats / min or so, heart sound weak. Chest X-ray examination showed flat pulmonary artery, normal ECG, blood pressure was normal, normal urinary protein (±), after three months of treatment with traditional Chinese medicine, disappearance of lupus cells negative, but there are still irregular low fever, heart rate And blood quickly. After discharge, continue to take traditional Chinese medicine. Intermittent prednisone. Diarrhea often starts in the second half of 1981. Frequent seizures in early 1982, no nervous system