患者 ,女性 ,60岁 ,1 998年 2月 9日 ,因四肢关节肿痛变形 2 0余年 ,加重并双膝关节肿胀一月入院 ,入院查体 :体温 36.2℃ ,血压 1 4 .7/9.3ｋＰａ ,神志清晰、问答准确、安静面容 ,扶入病房 ,心肺腹检查无异常 ,双手指关节畸形 ,活动受限 ,双膝关节红肿变形活动障碍 ,双下肢无 Patients, females, 60 years old, February 9, 1998, due to swelling and pain in limbs and joints more than 20 years of age, aggravated and knee swelling in January hospitalization, admission examination: body temperature 36.2 ℃, blood pressure 14.7 / 9.3 kPa, clear mind, Q & A accurate, quiet face, into the ward, cardiopulmonary abdomen examination no abnormalities, both hands and fingers deformity, limited mobility, inflamed knees deformity movement disorders, both lower extremities