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类风湿关节炎合并血栓栓塞症三例

Chinese Journal of Clinicians(Electronic Edition)(2011)

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Abstract
<正>例1,女,33岁,患类风湿关节炎10余年,因"咳嗽、咳痰、胸闷、气短"入院,胸部CT显示:双下肺野实变。给予抗感染治疗第4天出现右下肢肿胀、疼痛,血管超声显示右下肢腘静脉、小腿肌肉静脉、大隐静脉血栓。D-二聚体1320μg/L,患者既往有类风湿关节炎病史10年,查血沉42mm/1h,RF(+),ASO(-),ANA(-)。四肢小关节X线示:类风湿关节炎改变,给予
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