患者女,23岁。住院号172163。1989年5月23日住院。一年来,患者全身关节经常疼痛。无红肿,伴指关节梭状变形。院外诊断为“类风湿性关节炎”,服“玩卑七号”有效。近一月来恶心、厌油、纳差。无腹痛及发烧,二便正常。体检:T36℃,P70次/分,R20次/分,BP110/60mmHg。轻度贫血貌。心肺无异常,肝脾未及。左手无名指指关节呈 Female patient, 23 years old. Hospitalization number 172163. May 23, 1989 hospitalization. In the past year, the patient’s body joints often ached. No swelling, accompanied by knuckle shuttle deformation. Out-of-hospital diagnosis of “rheumatoid arthritis”, serving “play humble No. 7” effective. Nausea in the past month, tired of oil, anorexia. No abdominal pain and fever, two will be normal. Physical examination: T36 ℃, P70 beats / min, R20 beats / min, BP110 / 60mmHg. Mild anemia appearance. No abnormal heart and lung, liver and spleen not yet. Left ring finger joint was presented