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例1:男性,21岁,搬运工。于入院前半月先感右拇趾阵发性剧痛,很快累及余四趾,于1989年元月24日以右足疼痛原因待查收住。病前一周有上感和右足外伤史。自幼智力差,仅能计算20以内加、减法,生活自理,可从事简单体力劳动。检查:四肢肌力、肌张力、腱反射、感觉均正常。双足背动脉博动良好,双足皮肤色泽未见阴显异常。四肢血压正常。脑脊液压力、常规、生化均正常。双足摄片正常。入院第二天左足出现类似疼痛,开始每日用普鲁卡因0.6、烟酰胺0.6、培他定500ml、低分子右旋糖酐500ml,丹参16ml 静点,次日右足背及拇趾皮肤潮红、肿胀、局部温度增高、疼痛加
Example 1: Male, 21 years old, porter. In the first half of the hospital admission, the first right toe paroxysmal pain, and soon affected the fourth toe, on January 24, 1989 to the right foot pain to be checked. A week before the illness and right foot injury history. Mental retardation since childhood, only calculated within 20 plus, minus, self-care, can engage in simple manual labor. Check: limb muscle strength, muscle tone, tendon reflex, the feeling is normal. Bipedal artery a good move, no abnormalities in the color of both feet skin. Extremities blood pressure is normal. Cerebrospinal fluid pressure, routine, biochemical are normal. Bipedal normal film. On the second day of hospital admission, a similar pain was found in the left foot, starting daily with procaine 0.6, niacinamide 0.6, trastuzumab 500ml, low molecular weight dextran 500ml and Salvia miltiorrhiza 16ml static point. The next day, the right and left toe skin flushing and swelling, Local temperature increases, pain plus