患者,女,38岁,教师,因全身肌肉酸痛无力伴发热2月余,右上腹不适,厌油1月于1990年5月23日入院。查体:体温37℃,脉搏76次/分,血压16/10kPa,慢性病容,颜面轻度浮肿;全身浅表淋巴结不肿大,未见皮疹及出血点;巩膜无黄染;张口困难,甲状腺不肿大,双肺叩诊清音,未闻及干湿泻;心率76 Patient, female, 38 years old, teacher, due to generalized muscular dysphoria with fever more than 2 months, right upper quadrant discomfort, tired of oil in January 23, 1990 admission. Examination: body temperature 37 ℃, pulse 76 beats / min, blood pressure 16 / 10kPa, chronic disease, mild facial edema; systemic superficial lymph nodes did not enlarge, no rash and bleeding; scleral no yellow dye; mouth difficulties, thyroid Not swollen, lung percussion voiceless, not known and dry and wet diarrhea; heart rate 76