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1 病历摘要患者女性,50岁,农民。因全身关节肿痛1年,近2个月加重,伴烦渴多饮多尿而入院。1年前因受凉后出现全身关节肿胀疼痛,晨起加重,以双手指、腕、肘、膝关节为明显,曾间断服用解热镇痛药物治疗症状无改善,近2个月出现烦渴多饮多尿,每日饮水量达12000～18000ml,尿量和饮水量相当。口服强的松每日20mg持续1个半月效果不佳,改用氟美松5mg每日2次肌注半月,症状仍无改善,并逐渐出现头痛、头晕、咳嗽咯痰、视物模糊,但无呕吐。既往体健,家族中无同类
1 medical record Summary Female patient, 50 years old, farmer. 1 year due to systemic swelling and pain, nearly 2 months of aggravating, with polydipsia polyuria and admission. A year ago due to cold after systemic swelling and pain, early morning increased to double fingers, wrist, elbow, knee joint was obvious, had intermittent use of antipyretic analgesics did not improve the symptoms, the last 2 months more polydipsia Drink more urine, daily drinking water up to 12000 ~ 18000ml, urine output and amount of water quite. Oral prednisone 20mg per day for 1 and a half months, poor results, switch to flumestine 5mg 2 times a day intramuscularly for half a month, the symptoms still did not improve, and gradually headache, dizziness, cough expectoration, blurred vision, but No vomiting. Past physical health, no similar family