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例1:男性,40岁,胸闷、轻咳5月,腰骶部痛4月,两下肢酸痛、乏力进行性加重2月于1989年12月15日入院.发病来无发热,盗汗,消瘦不明显,无胸痛及四肢关节疼痛.当地曾予强的松每日30mg口服2月无效,多次胸片检查未见异常.体检:上睑无下垂,右侧前上胸叩诊稍浊,听诊呼吸音略低,语音传导略增强,未闻干、湿性罗音,心脏听诊正常,腹软,肝脾未及.两上肢肌力正常,两下肢肌力Ⅲ级,骨盆及下肢肌肉明显萎缩.入院时胸
Example 1: Male, 40 years old, chest tightness, light cough May, lumbosacral pain in April, both lower extremity soreness, progressive fatigue In February on December 15, 1989 admission .From the onset of fever, night sweats, weight loss Obviously, no chest pain and limbs and joint pain. Had local prednisone 30mg orally per day in February was invalid, many chest X-ray examination no abnormalities. Physical examination: upper eyelid without sagging, right upper chest percussion turbid, auscultation breathing sound Low, voice conduction slightly enhanced, no smell of dry, wet rales, auscultation of the heart normal, abdomen soft, liver and spleen is not yet.Two upper limb muscle strength normal, two lower extremity muscle strength class Ⅲ, pelvic and lower limb muscle atrophy.