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患者,女,25岁。主因低热伴全身乏力、纳差、关节疼痛10余天,于1989年1月20日入院。根据症状、体征及实验室检查(在省级多家医院于末梢血中找到了狼疮细胞),抗核抗体+++,最后诊断为系统性红斑狼疮。给强的松片40mg/日,叶酸片5mg、硫酸亚铁0.6,1日3次,维生素B_(12) 2500μg,隔日1次肌注,青霉素160万u,1口3次肌注,治疗1个月症状明显好转,要求出院门诊继续治疗。待症状基本控制,血红蛋白至100g/L,强的松逐渐减量,口服5mg维持到1989年9月底。一般情况恢复正常,全部停药。约2个半月后,病情反复,再来院就诊。选用抗疟药磷酸氯喹啉片(保定制药厂)0.25,1日3次,15天为一疗程,停药10天
Patient, female, 25 years old. Mainly due to fever with malaise, anorexia, joint pain for more than 10 days, January 20, 1989 admission. Based on the symptoms, signs and laboratory tests (lupus cells were found in peripheral blood at several provincial hospitals), the antinuclear antibody +++ was finally diagnosed as systemic lupus erythematosus. To strong pine tablets 40mg / day, folic acid tablets 5mg, ferrous sulfate 0.6, 3 times a day, vitamin B 12,500μg, intramuscular injection of 1 every other day, 1.6 million penicillin, 1 3 intramuscular injection, treatment 1 Month significantly improved symptoms, requiring outpatient treatment to continue. The basic symptoms to be controlled, hemoglobin to 100g / L, prednisone tapering, oral 5mg maintained until the end of September 1989. The general situation returned to normal, all withdrawal. About 2 and a half months later, his condition was repeated and he was hospitalized again. Selection of anti-malarial phosphate chloroquinoline tablets (Baoding Pharmaceutical Factory) 0. 25, 1 3 times, 15 days for a course of treatment, withdrawal 10 days