患者男性,55岁。因畏寒、发烧及右肩关节肿痛6天,于1989年7月22日急诊入院。病后在当地医院查血沉90mm/h,拟诊“风湿性关节炎,用青霉素及中药治疗无效。病前无右肩部外伤及局部注射史,但曾 Male patient, 55 years old. Due to chills, fever and swelling of the right shoulder joint pain for 6 days, July 22, 1989 emergency admission. After the illness in the local hospital check blood sediment 90mm / h, to be diagnosed with "rheumatoid arthritis, with penicillin and traditional Chinese medicine treatment is invalid before the disease without right shoulder trauma and local injection history, but once