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类风湿性关节炎(简称RA)伴有心肺受累及血管炎表现者报道日渐增多。现将1例R A具有典型的关节外改变的临床观察报告如下。患者苏某某,女性,40岁,1982年11月10月入院(住院号228517)。主诉指腕关节反复肿痛14年,逐渐发展为功能障碍,于近3年来遇冷时出现肢端刺痛麻木,皮肤苍白,同时伴有发作性心前区闷痛,有时呈压榨性,每次持续1—5分钟左右,常出现心慌气短。入院前1月,行走中晕倒,测血压180/120——200/130mmHg。入院前2日尿少,下肢水肿,既往无慢性咳嗽、结核病及高血压史。
Rheumatoid arthritis (referred to as RA) with cardiopulmonary involvement and vasculitis were reported increased performance. Now a case of R A with typical changes in the clinical report of the following report. Su Moumou patients, female, 40 years old, admitted to hospital in November 1982 (hospital number 228517). Chief complaint refers to repeated wrist pain and pain for 14 years, and gradually developed into dysfunction, limb pain in the last 3 years when the numbness of the limbs, pale skin, accompanied by episodes of pre-heart area boring pain, and sometimes was crushing, each Time continued for about 1-5 minutes, often appear palpitation shortness of breath. January before admission, walking fainting, measuring blood pressure 180 / 120-200 / 130mmHg. 2 days before admission less urine, lower extremity edema, no previous chronic cough, tuberculosis and history of hypertension.