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患者女,70岁。以“全身肌肉疼痛1年余”主诉入院。2010年7月患者无明显原因出现颜面、肢体等肿胀、疼痛。颈部疼痛;抬头费力,双上肢上抬费力;穿脱衣服、梳头、洗脸等困难,行走困难,不能下蹲,双下肢无力;腰、臀部疼痛,坐位时不能自行站立;背部麻木,自觉呈游走性;伴有发热(体温未测)、头痛、视力下降,张口、咀嚼、说话等动作受限。患者头痛较重,以双侧颞部、枕部明显,呈持续性疼痛,不能用手触
Female patient, 70 years old. To “body muscle pain more than 1 year ” main complaint hospitalization. July 2010 there was no obvious reason for facial patients, limb swelling and pain. Neck pain, pain in the neck, ups and downs, double upper extremity uplift; wear clothes, combing hair, face and other difficulties, walking difficulties, can not squat, both lower extremities weakness; waist and hip pain, sitting can not stand on their own; Migration; accompanied by fever (temperature not measured), headache, decreased vision, mouth, chewing, talking and other actions is limited. Heavier headache in patients with bilateral temporal, occipital obvious persistent pain, can not be touched by hand