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病例摘要:女,19岁。两年前因发热,面部红斑,关节疼痛,血沉增快,血中查到狼疮细胞,在某省级医院确诊为系统性红斑狼疮,给予强的松、消炎痛等药物疗治,病情一直稳定。自1988年12月因受凉上述症状加重伴有纳差,恶心呕吐,逐渐出现双下肢活动不灵,大小便失禁。查体:T39.6℃,神志清楚,精神萎糜,表浅淋巴结无肿大,面部蝶形红斑。心肺正常。腹软,肝剑下3.5cm,肋下2cm,质中等,无触痛,脾未及。神经系统:颈强直,双侧视神经乳头水肿,胸6平面以
Case Summary: Female, 19 years old. Two years ago due to fever, facial erythema, joint pain, erythrocyte sedimentation rate faster, blood lupus cells found in a provincial hospital diagnosed with systemic lupus erythematosus, given prednisone, anti-inflammatory pain and other drugs, the condition has been stable. Since December 1988 due to the above symptoms of aggravating accompanied by anorexia, nausea and vomiting, gradually appeared in lower extremity activities, incontinence. Physical examination: T39.6 ℃, conscious, wilting spirit, superficial lymph nodes without swelling, facial butterfly erythema. Cardiopulmonary normal. Abdomen soft, Liver Sword 3.5cm, ribs 2cm, medium quality, no tenderness, spleen and time. Nervous system: neck stiffness, bilateral optic papilla edema, chest 6 plane