论文部分内容阅读
白塞（Behcet）氏综合征是一种少见的，侵及全身多脏器的疾病，发生在内脏脏器移位者，更属罕见。现报告如下：赵××，男，34岁，机关干部。住院号6175。病史摘要：因反复发作关节疼痛，发烧一年余而入院。一年多来，口腔反复有疼痛性溃疡，外生殖器溃疡，两眼多次发生结膜炎、角膜炎，注射（肌肉、静脉）针刺处，有红色丘疹或脓疱。查体：T38.5℃，P96次/分，Bp 16.0/10.7kPa。神志清楚，皮肤无黄染，注射针刺处均有红色丘疹或脓疱。表浅淋巴结不肿大，咽部充血，双侧扁桃体中度肥大。舌缘、颊部均有0.3×0.5cm大小的椭园形溃疡，基底部可见黄色分泌物，周围发红。颈软，胸廓对称无畸形。心尖搏动在右侧第五肋间锁中线内1cm处，心界不大，心音正常，无杂音、无震颤。二肺未闻干、湿罗音。腹部平软，肝、脾未扪及。关节无红肿、无结节，但左膝关节活动受限。神经系统未见异常。
Behcet’s syndrome is a rare, systemic and multi-organ disease that occurs in visceral organ transplants, is even more rare. Now report as follows: Zhao × ×, male, 34 years old, cadres. Hospital number 6175. History Abstract: Due to recurrent joint pain, fever more than a year and admitted to hospital. More than a year, the mouth repeatedly painful ulcers, genital ulcers, conjunctivitis, keratitis two times, injection (muscle, vein) acupuncture, red papules or pustules. Physical examination: T38.5 ℃, P96 times / min, Bp 16.0 / 10.7kPa. Conscious mind, skin without yellow dye, acupuncture points have red papules or pustules. Superficial lymph nodes are not swollen, throat congestion, moderate bilateral tonsillar hypertrophy. Tongue edge, cheeks have oval-shaped ulcers 0.3 × 0.5cm size, the base of the visible yellow discharge, around the red. Neck soft, thoracic symmetry without deformity. Apex beat in the right intercostal lock line 1cm at the center of mind, heart sounds normal, no noise, no tremor. Second lung did not smell dry, wet rales. Abdomen soft, liver, spleen not palpable. Joints without swelling, no nodules, but the left knee joint activity is limited. Nervous system no abnormalities.