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患者,男性,41岁、初教-6飞行教员,飞行总时间3200h,既往健康,飞行耐力强。 飞行前体检时患者主诉:左踝部及左拇趾关节夜间无原因地发作性疼痛7d。取消当日飞行计划。查体:体温36.8℃,脉搏72次/min,血压16.0/10.0kPa。一般情况好,心肺及腹部未见异常。左踝部及左拇趾关节稍肿及热,余无异常。血、尿、便常规无异常。X线片示:
Patient, male, 41 years old, Beginner-6 flight instructors, total flight time 3200h, past health, strong flight endurance. Pre-flight medical examiner’s complaint: Left ankle and left maxillary joint painful at night for no reason 7d. Cancel the day’s flight plan. Physical examination: body temperature 36.8 ℃, pulse 72 beats / min, blood pressure 16.0 / 10.0kPa. Generally good, no abnormal heart and lungs and abdomen. Left ankle and left toe joints slightly swollen and hot, I no exception. Blood, urine, then no abnormalities routine. X-ray film shows: