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锟斤拷锟斤拷 强直锟皆硷拷锟斤拷锟斤拷锟斤拷一锟斤拷锟斤拷要锟桔硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟街拷锟截节ｏ拷锟斤拷锟斤拷椎锟斤拷锟斤拷锟斤拷维锟斤拷锟斤拷锟戒附锟斤拷锟斤拷锟斤拷锟街拷锟轿拷锟斤拷凸腔锟斤拷锟斤拷亟锟角恐蔽拷锟斤拷锟斤拷氐锟斤拷锟斤拷锟斤拷锟斤拷症锟皆硷拷锟斤拷锟斤拷强直锟皆硷拷锟斤拷锟斤拷一锟斤拷锟斤拷锟街凤拷锟斤拷锟侥关节ｏ拷锟斤拷锟斤拷锟斤拷诓锟斤拷浞⒄癸拷锟斤拷锟斤拷奂锟斤拷锟斤拷锟斤拷亍锟斤拷锟阶碉拷锟斤拷锟斤拷锟阶碉拷锟截斤拷突锟截节硷拷隙模锟斤拷锟斤拷锟节猴拷锟斤拷失锟斤拷椎锟斤拷锟斤拷锟斤拷锟斤拷伞锟斤拷苹锟斤拷锟斤拷痛锟斤拷腔锟斤拷锟斤拷录锟斤拷锟角恐憋拷锟斤拷毡锟斤拷潭锟斤拷锟斤拷锟斤拷锟缴ナэ拷投锟斤拷锟斤拷锟斤拷锟斤拷锟饺ワ拷锟轿拷锟斤拷锟斤拷锟斤拷锟斤拷湿锟皆关斤拷锟阶碉拷锟斤拷锟斤拷锟酵伙拷锟斤拷锟斤拷锟斤拷停锟斤拷锟斤拷锟斤拷锟斤拷湿锟皆硷拷锟斤拷锟阶★拷锟斤拷锟绞拷怨亟锟斤拷锟斤拷锟斤拷锟斤拷锟街拷啤锟斤拷锟斤拷锟斤拷湿锟皆关斤拷锟斤拷锟斤拷龋锟斤拷臃锟斤拷锟斤拷锟斤拷洹拷员稹⒒锟斤拷锟斤拷锟轿伙拷锟绞碉拷锟斤拷壹锟介、X锟竭硷拷榧帮拷锟斤拷锟斤拷频姆锟接︼拷雀锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟竭讹拷锟斤拷锟斤拷同锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟绞拷锟斤拷雍锟斤拷锟街拷锟斤拷菘锟皆璈IA锟斤拷B27锟侥凤拷锟街ｏ拷锟斤拷一锟斤拷证锟斤拷锟斤拷锟绞拷怨亟锟斤拷锟斤拷锟角恐憋拷约锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟饺拷锟酵拷募锟斤拷锟斤拷锟侥壳帮拷锟斤拷媳锟斤拷锟斤拷锟窖拷锟斤拷锟斤拷约锟斤拷锟斤拷亟诓锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷湿锟皆关斤拷锟阶碉拷一锟斤拷锟斤拷锟酵ｏ拷锟斤拷锟斤拷一锟街讹拷锟斤拷锟侥硷拷锟斤拷锟斤拷强直锟皆硷拷锟斤拷锟阶的伙拷锟斤拷锟绞ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷艽锟終ellgren锟桔合革拷锟斤拷锟侥憋拷锟斤拷锟斤拷锟斤拷为锟斤拷锟斤拷平锟斤拷锟斤拷锟斤拷锟斤拷约占锟剿口碉拷0锟斤拷1锟斤拷锟斤拷
锟斤拷锟斤拷 强直锟皆硷拷锟斤拷锟斤拷锟斤拷锟斤拷医学锟侥★拷锟角痹★拷锟斤拷锟斤拷锟斤拷锟皆★拷锟斤拷锟斤拷锟斤拷锟皆★拷锟斤拷锟斤拷锟斤拷诜纭憋拷锟斤拷锟斤拷瓯筹拷纭憋拷取锟斤拷锟斤拷诰锟斤拷锟皆伙拷锟斤拷锟斤拷潜圆锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟叫帮拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷撸锟斤拷锟斤拷源锟斤拷啵拷锟斤拷源锟酵凤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷强直锟皆硷拷锟斤拷锟斤拷锟斤拷锟节和硷拷锟斤拷强直锟斤拷锟轿碉拷状态锟斤拷
一锟斤拷锟斤拷锟津病伙拷
(一)锟斤拷锟斤拷
锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷未锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟截匡拷锟斤拷锟诫本锟斤拷锟侥凤拷锟斤拷锟叫关★拷
1锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷 强直锟皆硷拷锟斤拷锟阶憋拷锟斤拷锟绞拷怨亟锟斤拷锟斤拷懈锟角匡拷募锟斤拷锟斤拷糯锟斤拷锟斤拷颍锟斤拷锟窖э拷锟斤拷锟斤拷俅锟斤拷隙锟斤拷锟斤拷锟斤拷锟斤拷值芑锟斤拷锟酵憋拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷Beweton锟斤拷(1973锟斤拷)锟斤拷锟斤拷强直锟皆硷拷锟斤拷锟阶伙拷锟竭碉拷锟斤拷织锟斤拷锟斤拷锟叫ｏ拷锟斤拷锟斤拷锟斤拷曰锟斤拷锟斤拷锟斤拷氐锟街わ拷荨锟斤拷锟斤拷锟斤拷锟�75锟斤拷锟斤拷锟酵伙拷锟斤拷锟叫ｏ拷锟斤拷锟斤拷72锟斤拷(96锟斤拷)锟斤拷HIA锟斤拷B27锟斤拷原为锟斤拷锟皆ｏ拷锟斤拷锟斤拷60锟斤拷一锟斤拷锟斤拷锟斤拷锟叫ｏ拷31锟斤拷(51锟斤拷)HLA-B27锟斤拷原为锟斤拷锟皆ｏ拷锟斤拷锟斤拷75锟斤拷锟斤拷锟斤拷锟斤拷锟叫ｏ拷锟斤拷3锟斤拷(4锟斤拷)锟斤拷锟斤拷原为锟斤拷锟皆★拷锟斤拷锟杰伙拷锟斤拷锟斤拷锟截碉拷锟斤拷要锟斤拷锟窖憋拷锟斤拷锟较ｏ拷锟斤拷锟斤拷锟脚达拷锟斤拷式锟皆诧拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟轿拷锟斤拷锟斤拷锟斤拷锟揭伙拷锟斤拷锟饺旧拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷模锟揭诧拷锟斤拷锟斤拷锟轿拷锟斤拷锟轿拷锟斤拷锟斤拷锟斤拷糯锟斤拷锟�
2锟斤拷锟斤拷染锟斤拷锟斤拷 诺锟斤拷锟斤拷斯(Romanus)锟斤拷1953锟斤拷强锟斤拷锟斤拷殖锟斤拷锟斤拷系锟斤拷染锟斤拷锟斤拷锟金本诧拷锟斤拷锟斤拷要锟斤拷锟截★拷锟斤拷锟斤拷114锟斤拷锟斤拷锟斤拷强直锟皆硷拷锟斤拷锟阶伙拷锟斤拷锟叫ｏ拷锟斤拷锟斤拷102锟斤拷(89锟斤拷)锟叫此革拷染锟斤拷锟斤拷锟劫讹拷锟斤拷腔锟斤拷染锟斤拷通锟斤拷锟杰帮拷途锟斤拷锟斤拷Batson锟斤拷锟斤拷锟斤拷锟饺碉拷锟斤拷锟侥关节ｏ拷然锟斤拷锟劫碉拷锟斤拷锟斤拷锟斤拷锟斤拷染锟缴达拷前锟斤拷锟劫伙拷锟斤拷锟斤拷散锟斤拷锟斤拷循锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟饺拷锟街⒆达拷锟斤拷锟斤拷锟斤拷锟斤拷亟凇锟斤拷锟斤拷旄斤拷诺锟斤拷锟斤拷色锟斤拷膜锟侥诧拷锟戒。锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷群锟叫ｏ拷锟斤拷殖锟斤拷锟斤拷系锟斤拷染锟侥凤拷锟斤拷锟绞达拷35锟斤拷-50锟斤拷之锟洁。锟缴此匡拷锟斤拷锟斤拷锟斤拷染锟铰诧拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟脚凤拷锟斤拷
3锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷 锟斤拷锟斤拷锟斤拷锟剿★拷锟斤拷状锟斤拷锟劫硷拷锟斤拷锟斤拷锟轿斤拷恕锟角︼拷卸锟斤拷锟斤拷虾锟斤拷锟斤拷锟斤拷锟饺撅拷锟斤拷懿锟斤拷锟斤拷植锟斤拷锟脚э拷愿锟饺撅拷锟斤拷诜锟斤拷诩锟斤拷锟叫蝗憋拷荨锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷囟锟斤拷锟斤拷锟斤拷锟斤拷峒帮拷锟斤拷锟斤拷锟饺憋拷锟斤拷愎伙拷母锟斤拷荨锟斤拷锟街拷锟角恐憋拷约锟斤拷锟斤拷缀芸锟斤拷锟斤拷锟斤拷锟斤拷诨锟斤拷锟酵伙拷锟斤拷锟斤拷锟截碉拷锟桔猴拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷募锟斤拷锟斤拷锟斤拷芄锟斤拷锟斤拷捅锟斤拷锟斤拷募锟斤拷锟斤拷锟斤拷锟斤拷学说锟角讹拷锟斤拷锟斤拷锟脚达拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷殖锟斤拷锟斤拷系锟斤拷染锟酵筹拷锟斤拷锟斤拷锟斤拷锟侥癸拷系锟斤拷然锟斤拷锟阶癸拷锟狡ｏ拷锟斤拷锟斤拷锟角硷拷锟斤拷锟阶凤拷锟斤拷锟斤拷锟斤拷锟街革拷染之前锟侥诧拷锟斤拷锟斤拷
锟斤拷锟斤拷锟洁·锟斤拷锟斤拷液锟斤拷锟桔★拷曰锟斤拷锟斤拷锟介，锟斤拷锟斤拷锟斤拷痛锟斤拷锟斤拷锟结。锟斤拷锟斤拷锟斤拷锟绞★拷锟斤拷元锟斤拷锟酵达拷锟斤拷篇锟斤拷曰锟斤拷锟斤拷锟斤拷锟节猴拷锟斤拷锟斤拷锟剿关节斤拷锟教ｏ拷锟斤拷椎痛锟斤拷锟斤拷锟斤拷证锟斤拷准锟斤拷锟斤拷锟斤拷锟斤拷锟酵达拷锟斤拷蟹纭拷锟绞拷锟斤拷泻锟斤拷锟斤拷锟斤拷取锟斤拷写锟斤拷锟斤拷锟斤拷锟斤拷锟窖拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟教碉拷锟斤拷锟斤拷员锟揭诧拷锟斤拷锟斤拷锟斤拷浔疽诧拷锟斤拷锟斤拷锟斤拷诨锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷悖拷锟斤拷锟斤拷诘锟斤拷悴伙拷锟斤拷锟斤拷锟斤拷也锟斤拷冢锟斤拷锟斤拷锟斤拷藿冢锟斤拷约锟斤拷锟斤拷帧锟斤拷锟脚拷锟斤拷锟斤拷锟绞э拷锟斤拷龋锟斤拷锟斤拷锟斤拷锟窖拷锟斤拷锟斤拷锟斤拷锟斤拷稹８锟斤拷锟斤拷锟斤拷锟斤拷锟接拷锟斤拷锟窖拷筒锟斤拷校锟斤拷锟斤拷锟斤拷锟斤拷猿锟斤拷锟斤拷锟斤拷锟斤拷锟街拷锟斤拷锟斤拷锟斤拷锟叫爸拷锟斤拷锟斤拷绾帮拷锟斤拷锟斤拷锟诫。锟斤拷耍锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷椤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟轿拷锟斤拷颍绾拷锟街拔拷锟斤拷颉８锟斤拷锟斤拷锟斤拷悖帮拷锟斤拷锟斤拷锟斤拷锟教碉拷锟斤拷纬伞锟斤拷锟斤拷锟斤拷锟斤拷瑁拷锟窖拷锟斤拷校锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷录锟阶碉拷潜锟斤拷伞锟斤拷锟斤拷危锟斤拷锟斤拷锟街憋拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷睢⑼伙拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷荩锟斤拷锟斤拷纬伞锟斤拷锟斤拷源锟斤拷啵拷锟斤拷源锟酵凤拷锟斤拷牟蟹锟阶刺拷锟�
(锟斤拷)锟斤拷锟斤拷锟戒化锟斤拷锟斤拷
锟斤拷锟杰憋拷锟斤拷锟斤拷一锟街诧拷同锟斤拷锟斤拷锟绞拷怨亟锟斤拷椎募锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷叩牟锟斤拷锟饺达拷锟斤拷锟斤拷疲锟斤拷锟斤拷锟斤拷锟街筹拷锟斤拷锟窖匡拷锟街拷氐锟侥伙拷膜锟阶匡拷始锟斤拷锟斤拷时锟斤拷锟斤拷杉锟斤拷锟侥わ拷锟斤拷锟斤拷锟矫拷纬桑锟斤拷锟较革拷锟斤拷锟斤拷馨锟较革拷锟斤拷锟斤拷锟斤拷锟叫╋拷锟较革拷锟斤拷锟桔硷拷锟斤拷小血锟斤拷锟斤拷围锟绞筹拷状锟斤拷锟斤拷锟斤拷锟绞拷怨亟锟斤拷撞锟酵拷锟斤拷牵锟斤拷诟锟斤拷锟斤拷锟斤拷锟斤拷锟揭诧拷煞锟斤拷锟斤拷牖わ拷锟斤拷锟斤拷锟斤拷锟较碉拷锟斤拷锟斤拷锟斤拷锟街拷锟斤拷睢�
锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟侥关节匡拷始锟斤拷锟斤拷锟斤拷锟斤拷锟街凤拷锟斤拷椎锟斤拷锟斤拷椎锟斤拷锟斤拷椎锟斤拷锟脚★拷锟界、锟斤拷椎锟饺关节猴拷锟截骨憋拷锟藉、锟杰癸拷锟斤拷锟斤拷也锟斤拷锟斤拷锟桔硷拷锟斤拷约25锟斤拷锟侥伙拷锟斤拷同时锟桔硷拷膝锟斤拷锟斤拷小锟饺碉拷锟斤拷围锟截节★拷
锟斤拷锟斤拷锟斤拷锟节诧拷锟斤拷锟斤拷锟斤拷锟斤拷锟绞拷怨亟锟斤拷撞锟酵拷锟斤拷诒锟斤拷锟斤拷锟斤拷亟锟斤拷苹锟斤拷锟斤拷幔拷锟斤拷锟斤拷锟劫凤拷锟斤拷锟斤拷锟斤拷锟斤拷锟秸伙拷锟斤拷位锟斤拷锟斤拷锟截斤拷锟揭猴拷锟酵达拷锟角伙拷却十锟斤拷突锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟阶凤拷锟斤拷锟斤拷锟斤拷强直锟斤拷
锟节憋拷锟斤拷锟斤拷锟酵达拷锟斤拷锟斤拷锟届、锟截斤拷锟斤拷锟斤拷锟斤拷锟斤拷式锟较诧拷锟侥诧拷锟斤拷锟侥憋拷锟角猴拷锟斤拷锟截碉拷摹锟斤拷么锟斤拷锟斤拷锟窖匡拷锟街拷锟斤拷苹锟斤拷锟斤拷锟斤拷剩锟斤拷锟斤拷锟斤拷痛锟斤拷锟斤拷锟斤拷锟斤拷亟锟斤拷锟斤拷锟斤拷锟斤拷印锟斤拷锟斤拷锟街拷薷锟斤拷锟斤拷锟斤拷校锟斤拷锟斤拷锟斤拷锟斤拷晒锟斤拷唷拷锟绞拷锟斤拷锟斤拷锟斤拷墓锟斤拷锟街拷锟斤拷锟斤拷畈癸拷锟斤拷使锟饺憋拷鸫Γ锟斤拷锟斤拷蚋浇锟斤拷锟斤拷痛锟斤拷锟斤拷锟斤拷锟斤拷亟锟斤拷锟斤拷锟斤拷锟斤拷欤拷纬锟斤拷痛锟斤拷锟阶革拷锟�
锟斤拷锟斤拷锟斤拷锟戒不锟斤拷锟斤拷锟斤拷锟斤拷肢锟截节ｏ拷也锟斤拷锟斤拷椎锟斤拷锟教★拷锟截斤拷突锟截节★拷锟斤拷转锟接★拷锟斤拷锟角斤拷凇锟斤拷锟斤拷墙锟节ｏ拷锟侥癸拷锟秸和耻癸拷锟斤拷锟较等达拷锟斤拷
锟斤拷锟斤拷锟斤拷锟斤拷锟洁病锟斤拷锟侥撅拷锟截点，锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷屎锟斤拷锟轿拷锟斤拷锟斤拷锟斤拷锟斤拷诤锟轿拷氐恪�
尸锟届，锟节达拷约8锟斤拷锟侥诧拷锟斤拷锟缴硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟皆ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟接帮拷旎硷拷锟斤拷锟斤拷锟斤拷锟�
锟斤拷锟斤拷锟斤拷锟�
锟斤拷锟斤拷锟洁发锟斤拷锟斤拷10-40锟疥，锟斤拷锟斤拷锟竭凤拷锟斤拷锟斤拷为20-30锟疥，40锟斤拷锟皆后发诧拷锟斤拷锟劫硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷约10锟斤拷-20锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷40锟斤拷锟皆猴拷锟揭癸拷锟斤拷锟竭ｏ拷80锟斤拷锟斤拷30锟斤拷锟斤拷前锟斤拷锟斤拷锟斤拷锟斤拷只锟斤拷锟斤拷锟斤拷40锟斤拷锟皆后发诧拷锟斤拷锟斤拷锟皆憋拷女锟皆讹拷锟斤拷锟斤拷锟脚拷锟斤拷锟皆嘉�(10-5)锟斤拷1锟斤拷
(一)锟斤拷史锟斤拷症状
1锟斤拷锟斤拷锟斤拷锟斤拷式 一锟斤拷冉锟斤拷锟斤拷洹ｏ拷锟斤拷诳锟斤拷锟斤拷锟绞筹拷锟斤拷锟斤拷取锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷莺锟狡堆拷锟街⒆达拷锟斤拷锟斤拷锟斤拷锟酵拷锟斤拷锟揭伙拷愣硷拷锟斤拷锟斤拷亍锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷谐锟斤拷诘锟斤拷群凸亟锟酵达拷锟斤拷锟斤拷品锟绞拷缺锟斤拷郑锟斤拷锟斤拷嗖★拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟竭ｏ拷锟揭筹拷锟斤拷锟斤拷锟斤拷锟斤拷锟截硷拷锟结。锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷为锟斤拷锟饺★拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟截硷拷锟结、贫血锟斤拷锟脚关斤拷锟阶碉拷锟斤拷锟狡斤拷瞬锟街⒆达拷锟斤拷锟斤拷锟斤拷锟斤拷铩ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷效锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷(锟斤拷锟阶诧拷)锟饺凤拷锟斤拷锟洁抗锟斤拷药锟斤拷锟斤拷锟斤拷锟斤拷锟皆伙拷锟斤拷症状锟斤拷锟皆硷拷HLA-B27锟斤拷锟斤拷锟斤拷缘龋锟斤拷锟斤拷锟斤拷诒锟斤拷锟斤拷锟斤拷锟较★拷锟叫的诧拷锟斤拷症状锟缴凤拷锟斤拷锟节革拷冒锟斤拷锟斤拷锟剿★拷锟斤拷锟桔★拷锟捷克和革拷染之锟斤拷值锟斤拷注锟解。
锟斤拷锟解，锟斤拷锟斤拷锟斤拷锟斤拷锟皆的硷拷锟斤拷奂锟斤拷浴锟斤拷锟斤拷锟斤拷锟斤拷锟揭伙拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷姆锟斤拷锟斤拷员锟揭伙拷锟斤拷烁锟�20-40锟斤拷锟斤拷也锟叫憋拷锟斤拷锟斤拷一锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟绞达拷35锟斤拷锟竭★拷
2锟斤拷锟阶凤拷症状
(1)锟斤拷痛锟斤拷锟绞ｏ拷锟角憋拷锟斤拷锟筋常锟斤拷症状锟斤拷锟斤拷锟斤拷锟斤拷90锟斤拷锟斤拷锟揭★拷锟戒发锟斤拷锟斤拷锟戒，锟斤拷为锟斤拷痛锟斤拷锟斤拷锟皆讹拷位锟斤拷锟斤拷锟剿筹拷锟斤拷锟斤拷锟斤拷痛锟斤拷锟绞诧拷位锟斤拷锟斤拷锟筋部锟斤拷锟斤拷痛锟斤拷锟斤拷锟竭筹拷位锟斤拷锟斤拷锟侥关节ｏ拷锟斤拷时锟缴凤拷锟斤拷锟斤拷锟斤拷锟秸伙拷锟斤拷缺锟斤拷唷ｏ拷锟酵达拷锟斤拷锟斤拷锟皆★拷锟斤拷锟斤拷锟斤拷锟斤拷锟角ｏ拷锟斤拷锟斤拷锟斤拷亩锟斤拷锟斤拷锟斤拷锟斤拷亍锟斤拷锟绞硷拷锟轿拷锟斤拷锟斤拷锟叫拷裕锟斤拷院锟斤拷鸾ソ锟秸刮拷唷拷锟斤拷锟斤拷缘锟斤拷锟斤拷锟酵达拷锟斤拷锟接诧拷锟斤拷锟斤拷植锟斤拷锟揭伙拷锟绞硷拷统锟斤拷锟斤拷锟酵达拷锟斤拷锟接诧拷锟揭癸拷锟酵达拷锟接帮拷锟剿拷撸锟斤拷锟斤拷锟绞憋拷锟绞癸拷锟斤拷锟斤拷锟剿拷锟斤拷芯锟斤拷眩锟斤拷锟斤拷锟揭拷麓锟斤拷疃拷院锟绞硷拷锟斤拷锟斤拷锟斤拷锟剿拷锟轿拷锟斤拷锟筋动锟斤拷指锟斤拷之锟斤拷锟斤拷锟斤拷痛锟斤拷锟斤拷时锟斤拷锟剿匡拷锟斤拷锟铰达拷锟斤拷锟叫碉拷锟斤拷锟窖ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷转锟斤拷使锟斤拷痛锟斤拷锟截★拷锟斤拷息锟斤拷锟杰伙拷锟斤拷锟斤拷痛锟斤拷锟绞ｏ拷锟筋动锟斤拷锟斤拷锟斤拷使症状锟斤拷锟狡ｏ拷锟斤拷为锟斤拷症锟斤拷锟斤拷痛锟斤拷锟叫碉拷锟斤拷锟酵达拷募锟斤拷锟揭拷锟街伙拷锟斤拷械牟锟斤拷锟斤拷锟酵达拷锟斤拷锟斤拷锟街⒆达拷锟斤拷鼙冉锟斤拷锟轿拷锟轿达拷锟斤拷锟斤拷锟斤拷印锟斤拷锟斤拷丝锟斤拷芙锟斤拷械锟斤拷锟斤拷锟斤拷锟接诧拷锟斤拷锟斤拷锟酵达拷锟斤拷锟轿碉拷锟窖雇达拷锟斤拷锟斤拷痛锟斤拷锟斤拷锟斤拷锟角革拷锟脚碉拷锟斤拷症锟斤拷锟斤拷锟洁病锟剿猴拷锟斤拷锟阶憋拷锟斤拷锟斤拷为锟斤拷湿锟斤拷锟斤拷锟斤拷维织锟阶★拷锟今经撅拷锟斤拷锟斤拷锟斤拷痛锟饺★拷锟轿★拷锟斤拷锟饺猴拷锟酵达拷锟斤拷锟斤拷锟斤拷锟轿拷锟斤拷锟斤拷锟斤拷锟酵达拷锟斤拷锟斤拷锟角恐憋拷约锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷呓锟斤拷俜锟斤拷锟斤拷锟较ワ拷锟斤拷隆锟�
锟斤拷锟斤拷锟斤拷锟斤拷也锟斤拷强直锟皆硷拷锟斤拷锟阶筹拷锟斤拷锟斤拷锟斤拷锟斤拷症状之一锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟接诧拷锟斤拷疃拷锟斤拷锟皆伙拷锟解。锟斤拷锟斤拷也锟角诧拷锟斤拷疃革拷锟街伙拷锟斤拷锟斤拷锟斤拷锟斤拷锟绞憋拷沙锟斤拷锟饺拷铡锟斤拷锟斤拷疃拷猓拷确锟斤拷锟剿∫诧拷锟绞癸拷锟斤拷锟斤拷锟斤拷狻ｏ拷锟阶碉拷锟斤拷锟酵匆伙拷惴拷锟斤拷锟斤拷锟斤拷锟斤拷锟街拷螅锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷诔锟斤拷执锟斤拷锟街⒆达拷锟�
(2)锟斤拷锟届、锟酵达拷锟角革拷锟脚碉拷锟斤拷症锟斤拷为强直锟皆硷拷锟斤拷锟阶碉拷锟斤拷锟斤拷锟皆诧拷锟斤拷锟戒化锟斤拷锟斤拷锟斤拷锟斤拷锟竭关节ｏ拷锟截骨憋拷锟斤拷锟斤拷锟斤拷锟较等诧拷位锟侥革拷锟脚碉拷锟阶ｏ拷锟斤拷锟剿可筹拷锟斤拷锟斤拷痛锟斤拷锟斤拷锟皆伙拷锟斤拷锟斤拷时锟斤拷锟截ｏ拷锟斤拷时锟斤拷锟斤拷锟斤拷为锟斤拷膜锟阶ｏ拷也锟斤拷锟斤拷锟斤拷锟斤拷痛锟斤拷锟斤拷锟侥帮拷锟阶伙拷堑锟斤拷锟斤拷慕锟酵达拷锟饺ワ拷锟斤拷锟窖拷锟揭斤拷锟斤拷锟斤拷乜锟揭斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟绞憋拷锟斤拷锟斤拷锟秸癸拷锟斤拷蓿锟斤拷锟斤拷锟斤拷诓锟斤拷锟揭诧拷沙锟斤拷锟斤拷帷拷卸锟斤拷锟斤拷锟斤拷疃拷冉锟斤拷汀锟斤拷锟斤拷锟绞斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷俪锟斤拷锟酵拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷叶苑锟斤拷锟斤拷嗫癸拷锟揭╋拷锟接︼拷锟斤拷谩锟�
锟斤拷锟脚碉拷锟斤拷症状也锟缴筹拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟结、锟斤拷椎锟斤拷突锟斤拷锟斤拷锟侥★拷锟斤拷转锟接★拷锟斤拷锟角斤拷凇锟斤拷止墙锟节猴拷锟斤拷锟斤拷炔锟轿伙拷锟斤拷锟斤拷锟轿拷锟斤拷锟斤拷锟斤拷诒锟斤拷帧锟斤拷锟斤拷痛锟皆硷拷锟斤拷锟斤拷痛锟斤拷未锟街伙拷锟斤拷锟斤拷锟截节诧拷Amor锟斤拷媳锟斤拷锟斤拷校锟斤拷锟轿伙拷锟斤拷锟斤拷锟狡分★拷
(4)锟斤拷锟杰关斤拷症状锟斤拷锟斤拷锟斤拷锟斤拷锟较诧拷锟斤拷锟斤拷锟斤拷锟叫筹拷锟斤拷锟斤拷锟杰关斤拷症状锟斤拷锟斤拷锟桔诧拷位锟斤拷锟脚★拷膝锟斤拷锟阶碉拷锟斤拷肢锟斤拷亟锟轿拷锟斤拷锟斤拷也锟斤拷锟桔硷拷锟界、锟斤拷锟斤拷锟街拷锟截节ｏ拷指锟斤拷趾锟斤拷末锟斤拷小锟截斤拷锟斤拷锟桔斤拷锟劫硷拷锟斤拷强直锟皆硷拷锟斤拷锟斤拷锟斤拷锟杰关斤拷锟斤拷锟桔斤拷锟劫憋拷锟斤拷为锟斤拷锟斤拷锟皆猴拷锟狡伙拷锟皆★拷为锟斤拷锟斤拷锟斤拷锟斤拷锟绞拷亟锟斤拷椎锟斤拷氐锟街伙拷锟�
Calin A锟饺讹拷英锟斤拷强直锟皆硷拷锟斤拷锟斤拷协锟斤拷1500锟斤拷锟斤拷锟剿碉拷锟斤拷锟斤拷锟斤拷锟斤拷锟街凤拷锟斤拷锟斤拷锟斤拷越锟结，锟脚关斤拷锟斤拷锟桔凤拷锟斤拷锟斤拷越锟竭ｏ拷预锟斤拷越锟筋。锟斤拷锟脚凤拷锟斤拷锟斤拷锟斤拷锟斤拷锟接ｏ拷锟脚关斤拷锟斤拷锟桔凤拷锟斤拷锟斤拷也锟斤拷之锟斤拷锟酵ｏ拷锟斤拷锟斤拷锟斤拷也锟斤拷之锟斤拷小锟斤拷锟斤拷锟解报锟斤拷锟脚关斤拷锟斤拷锟桔凤拷锟斤拷锟斤拷为17锟斤拷-36锟斤拷锟斤拷锟斤拷锟节达拷60锟斤拷锟斤拷锟揭ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟截★拷
3锟斤拷锟斤拷锟酵憋拷锟斤拷 锟斤拷锟斤拷痛锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷椎锟斤拷锟斤拷锟斤拷疃拷锟斤拷藓锟斤拷锟斤拷锟斤拷疃拷燃锟斤拷锟斤拷锟角恐憋拷约锟斤拷锟斤拷椎牡锟斤拷捅锟斤拷郑锟斤拷锟斤拷锟斤拷诓锟斤拷锟筋动锟节间。前锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷痛症状锟斤拷锟斤拷锟斤拷息锟斤拷锟斤拷锟解，锟筋动锟斤拷锟斤拷使症状锟斤拷锟结。锟筋动锟节筹拷锟斤拷夜锟斤拷痛锟斤拷锟斤拷影锟斤拷睡锟竭ｏ拷锟斤拷锟斤拷锟竭匡拷锟斤拷锟斤拷睡锟皆猴拷锟窖★拷锟襟部分诧拷锟斤拷锟斤拷锟斤拷锟斤拷时锟斤拷锟斤拷锟斤拷锟斤拷硬锟绞活动锟斤拷锟斤拷睿拷锟轿拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷实锟斤拷疃诧拷苫锟斤拷狻ｏ拷械牟锟斤拷司锟斤拷锟斤拷锟揭诧拷煞锟斤拷锟斤拷锟斤拷锟斤拷锟接诧拷锟揭诧拷械牟锟斤拷烁锟斤拷锟斤拷锟接诧拷锟斤拷锟斤拷锟斤拷锟斤拷锟轿拷锟斤拷锟�
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锟斤拷锟脚诧拷锟教斤拷展锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟缴凤拷锟斤拷锟斤拷锟斤拷锟斤拷锟较碉拷强直锟斤拷锟斤拷锟斤拷锟斤拷椎前凸锟斤拷锟斤拷锟斤拷失锟斤拷锟斤拷锟斤拷锟斤拷椎锟斤拷凸锟斤拷锟斤拷锟秸憋拷锟斤拷锟轿ｏ拷锟斤拷锟脚撅拷椎锟斤拷锟桔ｏ拷锟斤拷椎锟筋动锟斤拷锟睫ｏ拷锟斤拷时锟斤拷锟斤拷锟斤拷态锟斤拷为头锟斤拷前锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷平锟斤拷锟斤拷锟斤拷突锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟剿讹拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟筋动锟斤拷锟睫ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷时只锟杰匡拷锟斤拷前锟斤拷锟斤拷锟睫碉拷一锟斤拷路锟芥。锟剿阶讹拷锟斤拷痛锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟皆ｏ拷只锟斤拷锟斤拷某些锟斤拷锟斤拷锟斤拷症锟筋动锟侥诧拷位锟斤拷锟斤拷锟斤拷时锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷强直锟斤拷锟斤拷锟剿改憋拷锟斤拷锟斤拷时锟斤拷锟斤拷平锟斤拷十锟斤拷锟斤拷锟窖讹拷锟斤拷锟斤拷锟阶凤拷锟斤拷锟斤拷锟剿ｏ拷锟斤拷锟斤拷锟剿很匡拷锟斤拷为锟剿阶讹拷锟斤拷痛突然锟斤拷锟截碉拷原锟斤拷
锟劫达拷锟斤拷锟街ｏ拷锟斤拷锟斤拷锟斤拷强直女锟斤拷一锟斤拷泳锟阶碉拷锟绞硷拷锟斤拷锟阶碉拷锟秸癸拷锟斤拷锟斤拷锟揭伙拷锟斤拷锟斤拷锟阶碉拷锟绞硷拷锟斤拷戏锟秸癸拷锟斤拷锟斤拷锟饺拷锟斤拷锟角恐憋拷牟锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟�80锟斤拷锟斤拷锟揭诧拷锟斤拷锟斤拷胜锟斤拷一锟姐工锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷只锟斤拷锟节诧拷锟街硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷只锟斤拷锟斤拷锟斤拷锟侥关斤拷锟斤拷锟桔★拷
4锟斤拷锟截斤拷锟斤拷锟斤拷锟� 锟斤拷为一锟斤拷全锟斤拷锟斤拷锟斤拷锟斤拷症锟皆硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟桔硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟杰关节和硷拷锟届、锟酵达拷锟斤拷锟脚碉拷锟解，强直锟皆硷拷锟斤拷锟阶伙拷锟斤拷锟桔硷拷锟斤拷锟斤拷锟斤拷锟劫★拷
(1)全锟斤拷症状锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷冢锟斤拷锟斤拷锟斤拷锟斤拷猓伙拷悴伙拷锟斤拷兀锟斤拷锟斤拷芄亟锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷撸锟饺拷锟街⒆达拷冉锟酵伙拷锟斤拷锟�
(2)锟斤拷锟斤拷前锟斤拷锟斤拷膜锟阶伙拷锟侥わ拷祝锟斤拷锟斤拷锟斤拷锟轿拷锟角恐憋拷约锟斤拷锟斤拷椎锟揭伙拷锟斤拷郑锟斤拷锟斤拷锟斤拷锟斤拷锟轿拷呛锟角恐憋拷约锟斤拷锟斤拷锟斤拷约锟紿LA-B27锟斤拷氐亩锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟酵筹拷锟角恐憋拷约锟叫ｏ拷椎暮锟侥わ拷追锟斤拷锟斤拷锟轿�4锟斤拷-33锟斤拷锟斤拷锟斤拷锟街诧拷锟斤拷锟斤拷膜锟斤拷锟斤拷锟斤拷强直锟皆硷拷锟斤拷锟阶凤拷锟斤拷锟斤拷锟劫达拷锟斤拷锟斤拷为锟斤拷锟皆凤拷锟斤拷锟斤拷锟斤拷锟斤拷锟洁发锟斤拷锟斤拷症状为锟斤拷痛锟斤拷锟斤拷锟结、畏锟斤拷取锟斤拷锟斤拷杉锟斤拷锟侥わ拷锟轿э拷锟窖拷锟斤拷锟侥に拷住锟斤拷锟斤拷膜粘锟斤拷锟斤拷锟斤拷杉锟酵拷锟斤拷锟斤拷锟斤拷锟斤拷锟皆碉拷锟斤拷锟斤拷锟斤拷锟较讹拷萍锟斤拷锟角帮拷锟斤拷写锟斤拷锟斤拷锟斤拷锟斤拷徒锟侥わ拷锟斤拷锟斤拷锟矫匡拷畏锟斤拷锟皆�4-8锟杰ｏ拷一锟斤拷锟睫猴拷锟斤拷症锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷植锟斤拷锟饺拷锟斤拷锟斤拷锟斤拷锟斤拷疲锟揭伙拷锟斤拷锟斤拷锟斤拷影锟届不锟襟、碉拷锟斤拷锟斤拷锟狡诧拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟狡ｏ拷也锟缴凤拷锟斤拷锟斤拷锟斤拷锟较帮拷锟斤拷锟斤拷锟剿斤拷锟斤拷6锟斤拷锟斤拷茫锟斤拷锟斤拷锟�26锟斤拷6锟斤拷锟斤拷锟斤拷前锟斤拷锟斤拷膜锟阶诧拷锟斤拷为强直锟皆硷拷锟斤拷锟阶伙拷锟竭★拷
(3)锟斤拷血锟杰憋拷锟街ｏ拷锟斤拷血锟斤拷锟斤拷锟斤拷锟斤拷然锟劫硷拷锟斤拷锟斤拷也锟斤拷强直锟皆硷拷锟斤拷锟阶碉拷一锟斤拷锟斤拷要锟斤拷锟街★拷锟劫达拷锟较帮拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟阶★拷锟斤拷锟斤拷锟斤拷锟斤拷膜锟斤拷锟斤拷维锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷乇詹锟饺拷锟斤拷锟斤拷锟斤拷锟窖达拷锟皆硷拷锟斤拷锟斤拷锟截闭诧拷全锟斤拷锟斤拷锟斤拷锟斤拷锟襟、凤拷锟揭达拷锟斤拷锟斤拷锟酵猴拷锟斤拷支锟斤拷锟斤拷锟斤拷锟酵★拷锟斤拷锟斤拷锟斤拷锟侥硷拷锟斤拷锟斤拷锟侥帮拷锟阶等★拷锟叫憋拷锟斤拷锟斤拷为强直锟皆硷拷锟斤拷锟斤拷锟斤拷血锟斤拷锟斤拷锟斤拷同HLA-B27锟斤拷锟斤拷锟斤拷兀锟斤拷锟斤拷锟皆讹拷锟斤拷锟脚拷浴锟脚凤拷锟斤拷锟斤拷曳锟斤拷锟斤拷矢锟斤拷锟斤拷夜锟斤拷锟斤拷毡锟斤拷锟�
(4)锟轿诧拷锟斤拷锟街ｏ拷为锟斤拷锟斤拷锟斤拷锟节筹拷锟斤拷锟侥关斤拷锟斤拷锟斤拷郑锟揭伙拷惴拷锟斤拷诓锟斤拷锟�20锟斤拷锟斤拷锟斤拷锟竭★拷锟劫达拷锟较匡拷锟斤拷锟斤拷锟斤拷症状锟斤拷也锟斤拷锟叫匡拷锟皆★拷锟斤拷痰锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷血锟斤拷锟斤拷锟脚诧拷锟戒发展锟斤拷锟斤拷锟斤拷锟筋动锟斤拷锟睫ｏ拷锟缴筹拷锟斤拷双锟较凤拷锟斤拷锟斤拷锟角肺硷拷锟斤拷维锟斤拷锟斤拷锟斤拷锟皆变，锟斤拷锟斤拷锟秸讹拷锟轿成ｏ拷锟轿癸拷锟杰斤拷一锟斤拷锟斤拷锟斤拷锟斤拷锟节筹拷锟较诧拷锟斤拷锟斤拷锟皆革拷染锟斤拷使锟斤拷锟斤拷锟斤拷愿锟斤拷印锟斤拷戏谓锟秸癸拷锟斤拷锟轿拷锟斤拷痛锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷艿锟斤拷俅锟斤拷锟斤拷印锟斤拷锟斤拷锟斤拷矢锟斤拷冶锟斤拷锟斤拷锟酵拷锟皆糽
3锟斤拷-10锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷始症状锟斤拷锟斤拷锟皆ｏ拷锟斤拷锟斤拷X锟斤拷锟截诧拷锟斤拷锟斤拷锟介发锟街★拷锟斤拷影锟斤拷学锟截碉拷为锟较凤拷锟斤拷锟斤拷状锟斤拷锟狡达拷锟接帮拷锟斤拷锟斤拷锟斤拷锟斤拷员锟斤拷锟斤拷锟斤拷斩锟斤拷纬桑锟斤拷锟斤拷锟斤拷奂锟剿拷危锟斤拷锟斤拷潭炔锟揭伙拷拢锟斤拷锟斤拷锟斤拷锟斤拷锟轿斤拷思锟斤拷稹？锟斤拷薪锟剿撅拷锟斤拷锟斤拷锟介、痰细锟斤拷锟斤拷椋拷锟揭憋拷锟街э拷锟斤拷芊锟斤拷锟街拷锟斤拷锟斤拷锟斤拷确锟斤拷稀锟斤拷锟斤拷偌锟斤拷姆尾锟斤拷锟斤拷锟斤拷锟斤拷锟侥わ拷锟斤拷锟秸筹拷锟斤拷锟斤拷锟斤拷偶锟斤拷锟斤拷锟侥ｏ拷锟斤拷锟斤拷锟阶达拷锟斤拷锟斤拷筒锟斤拷锟斤拷取锟�
强直锟皆硷拷锟斤拷锟阶猴拷锟斤拷锟斤拷锟竭关节猴拷锟斤拷锟竭关节骨伙拷锟斤拷使锟斤拷锟斤拷锟斤拷直锟斤拷锟截骨猴拷压痛锟斤拷锟斤拷片锟缴硷拷锟斤拷锟斤拷锟截斤拷锟斤拷窄锟斤拷锟节合ｏ拷锟竭骨猴拷椎锟藉、锟斤拷突锟节合ｏ拷锟斤拷锟斤拷时锟竭癸拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷缺锟界。锟斤拷时锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟绞斤拷锟斤拷锟绞癸拷锟角谎癸拷锟斤拷锟斤拷樱锟斤拷锟叫╋拷锟斤拷丝煞锟斤拷锟斤拷锟斤拷晒锟斤拷蕖锟斤拷锟剿ｏ拷锟斤拷锟斤拷锟斤拷稀锟斤拷锟斤拷锟斤拷锟斤拷坪锟揭斤拷锟斤拷锟斤拷锟斤拷锟斤拷愿锟斤拷锟皆わ拷锟斤拷锟斤拷锟揭拷锟�
(5)锟今经★拷锟斤拷锟斤拷锟斤拷郑锟斤拷锟斤拷锟斤拷锟角恐憋拷约锟斤拷锟斤拷椎锟斤拷窬锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟接诧拷锟斤拷锟斤拷一锟斤拷锟斤拷为锟斤拷锟斤拷锟斤拷锟节继凤拷症状锟界脊椎锟斤拷锟桔★拷锟斤拷位锟斤拷锟铰★拷锟斤拷锟斤拷锟斤拷锟斤拷强直锟皆猴拷一锟姐都锟斤拷锟斤拷锟斤拷锟截的癸拷锟斤拷锟斤拷锟缴ｏ拷锟斤拷锟绞拷锟斤拷锟斤拷追锟叫★拷锟斤拷郏锟斤拷锟绞癸拷锟轿拷锟斤拷锟斤拷锟揭诧拷锟斤拷锟斤拷稹＜锟阶碉拷锟斤拷锟斤拷跃锟阶碉拷锟斤拷追锟斤拷锟斤拷锟斤拷锟斤拷缘锟�5-7锟斤拷椎锟斤拷锟斤拷锟斤拷遣锟斤拷锟斤拷锟斤拷锟竭的诧拷锟斤拷症锟斤拷锟斤拷锟斤拷锟斤拷锟剿猴拷锟斤拷志锟斤拷锟斤拷锟酵达拷锟街拷锟斤拷锟侥局⒆达拷撸锟接︼拷锟斤拷饧癸拷锟斤拷锟斤拷鄣目锟斤拷堋锟斤拷苑锟斤拷曰锟斤拷锟阶登帮拷锟轿伙拷锟斤拷锟轿拷锟斤拷锟斤拷锟酵达拷锟斤拷砂锟津不伴脊锟斤拷压锟斤拷症状锟斤拷只要锟斤拷锟斤拷锟斤拷锟借，锟斤拷喜锟斤拷选锟斤拷锟斤拷植锟斤拷锟街⒁伙拷锟斤拷锟斤拷锟斤拷锟节诧拷锟斤拷锟斤拷也偶锟斤拷锟斤拷锟斤拷锟节★拷锟斤拷锟皆斤拷锟斤拷锟斤拷锟斤拷尾锟桔猴拷锟斤拷为锟斤拷锟斤拷强直锟皆硷拷锟斤拷锟阶猴拷锟斤拷锟斤拷锟斤拷要锟侥诧拷锟斤拷症锟斤拷锟斤拷锟斤拷为锟斤拷锟斤拷透锟斤拷锟斤拷锟皆硷拷锟斤拷锟斤拷懿锟饺拷锟斤拷锟斤拷锟酵达拷痛锟斤拷燃锟斤拷鄄锟酵达拷愿芯锟饺笔э拷锟斤拷鸾シ锟秸刮拷颉⒈锟绞э拷锟斤拷锟斤拷锟轿拷锟脚硷拷煞锟斤拷锟斤拷锟斤拷旆达拷锟斤拷锟绞э拷锟斤拷锟斤拷锟斤拷锟接拔达拷锟斤拷锟阶碉拷锟斤拷锟秸拷锟窖癸拷锟斤拷锟斤拷锟斤拷耍锟斤拷锟皆拷锟斤拷胁锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷为锟斤拷锟斤拷锟斤拷锟斤拷膜锟斤拷锟斤拷锟铰★拷
(6)锟斤拷锟斤拷锟斤拷锟斤拷锟金害斤拷锟劫硷拷锟斤拷锟捷憋拷锟芥本锟斤拷锟斤拷锟斤拷前锟斤拷锟斤拷锟阶憋拷锟斤拷锟斤拷锟斤拷群锟斤拷锟斤拷锟�
锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷
1锟斤拷锟斤拷锟斤拷锟斤拷硬锟斤拷锟斤拷锟狡改变：锟斤拷锟节硷拷锟缴硷拷锟斤拷平锟斤拷(锟斤拷椎前凸锟斤拷锟劫伙拷锟斤拷失)锟斤拷锟斤拷椎锟斤拷锟斤拷锟斤拷锟睫ｏ拷锟斤拷锟节可硷拷锟斤拷锟斤拷椎前凸锟斤拷锟斤拷锟轿拷锟酵癸拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟筋动锟斤拷锟杰碉拷锟斤拷锟狡★拷锟斤拷锟斤拷锟脚关斤拷锟斤拷锟斤拷锟秸★拷锟斤拷展锟斤拷锟轿ｏ拷锟斤拷锟斤拷锟斤拷凸锟斤拷锟劫硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟叫硷拷锟斤拷锟斤拷凸时锟缴硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷疃憋拷锟斤拷锟斤拷锟阶碉拷约锟斤拷锟斤拷锟斤拷锟揭伙拷锟斤拷锟斤拷拧锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟秸癸拷锟斤拷锟轿拷曰锟斤拷锟斤拷强直时锟斤拷锟斤拷锟斤拷锟筋动锟斤拷锟斤拷全丧失锟斤拷锟斤拷锟斤拷锟绞帮拷状锟教讹拷锟斤拷锟斤拷锟斤拷锟竭筹拷锟秸憋拷锟斤拷锟轿ｏ拷锟斤拷锟斤拷锟斤拷使锟叫的伙拷锟斤拷站锟斤拷时只锟斤拷锟斤拷锟斤拷锟斤拷妫伙拷锟斤拷锟斤拷驴锟斤拷锟斤拷锟斤拷锟斤拷锟角帮拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷峡锟斤拷锟斤拷械幕锟斤拷锟斤拷锟斤拷杀锟斤拷锟角ｏ拷锟斤拷锟铰凤拷鸥锟角帮拷小锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷疃拷鹊姆锟斤拷锟斤拷卸锟斤拷郑锟斤拷铣锟斤拷玫姆锟斤拷锟斤拷歉锟斤拷锟絊chober锟斤拷锟介。锟戒方锟斤拷锟角诧拷锟斤拷锟侥猴拷锟较硷拷水平锟斤拷锟较达拷直锟斤拷锟斤拷10cm锟斤拷锟侥硷拷锟斤拷前锟斤拷锟饺猴拷腋锟斤拷锟斤拷锟斤拷锟轿猴拷20cm锟斤拷锟斤拷募锟斤拷锟斤拷锟斤拷锟斤拷取锟角帮拷锟斤拷锟斤拷锟斤拷锟斤到5-10cm锟斤拷为锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷前锟斤拷时锟斤拷指锟解到锟斤拷锟斤拷木锟斤拷敕从筹拷艿锟斤拷锟接︼拷院锟斤拷挪锟阶刺拷锟斤拷锟斤拷锟斤拷锟斤拷婕癸拷锟斤拷锟斤拷锟斤拷锟斤拷硕锟斤拷锟斤拷锟斤拷锟斤拷诒锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷校锟斤拷锟斤拷俅锟斤拷铣锟斤拷锟轿拷锟斤拷锟斤拷锟斤拷骞︼拷锟阶刺拷锟街革拷锟街伙拷锟�
2锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟剿讹拷锟斤拷锟劫ｏ拷一锟斤拷锟斤拷为锟斤拷锟截诧拷锟斤拷锟杰撅拷锟斤拷锟脚讹拷锟斤拷锟斤拷3cm锟斤拷为锟斤拷锟皆ｏ拷锟斤拷示锟斤拷锟斤拷锟斤拷锟斤拷锟睫★拷锟斤拷锟斤拷时锟斤拷锟斤拷失锟斤拷
3锟斤拷锟斤拷锟侥关节硷拷榉拷锟斤拷锟窖癸拷锟斤拷锟阶拷锟斤拷墓亟诙锟斤拷锟斤拷锟斤拷锟斤拷痛锟斤拷锟斤拷锟侥关斤拷锟阶的可匡拷锟斤拷锟斤拷锟斤拷一锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷址锟斤拷锟斤拷锟斤拷俟锟斤拷锟斤拷锟斤拷锟斤拷锟介。锟节癸拷锟借挤压锟斤拷锟介。锟斤拷锟斤拷锟斤拷锟斤拷压锟斤拷锟介。锟杰达拷锟斤拷锟斤拷锟介。锟捷★拷4锟斤拷锟斤拷实锟介。
4锟斤拷锟斤拷围锟斤拷锟桔关节碉拷锟斤拷锟斤拷锟斤拷锟斤拷锟节可硷拷锟斤拷锟桔关斤拷锟斤拷锟酵★拷锟斤拷液锟酵局诧拷皮锟斤拷锟斤拷锟饺ｏ拷锟斤拷锟斤拷锟斤拷锟绞拷亟锟斤拷椎锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷诳杉锟斤拷锟斤拷只锟斤拷危锟斤拷殴亟诔锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷铡锟斤拷锟秸癸拷锟斤拷锟阶拷锟斤拷危锟斤拷锟斤拷锟角恐憋拷锟斤拷锟洁，膝锟截节可筹拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟轿ｏ拷锟斤拷锟缴硷拷锟斤拷锟斤拷膝锟桔猴拷锟斤拷锟斤拷站锟斤拷时锟侥★拷z锟斤拷锟斤拷锟斤拷锟狡★拷
5锟斤拷锟斤拷锟届附锟脚点病锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟杰达拷转锟接★拷锟斤拷锟角斤拷凇锟斤拷墓锟斤拷铡锟斤拷芄锟斤拷锟斤拷虾透锟斤拷墙锟节讹拷锟杰凤拷锟斤拷锟斤拷锟戒，锟斤拷锟斤拷前锟斤拷锟竭讹拷锟接斤拷锟矫诧拷锟斤拷锟斤拷锟侥凤拷锟斤拷锟斤拷锟斤拷症状锟斤拷锟斤拷锟斤拷锟阶憋拷锟节盖★拷锟斤拷锟斤拷锟角斤拷锟皆讹拷敕拷锟斤拷锟斤拷牟锟轿伙拷锟斤拷锟轿伙拷帽锟角筹拷锟斤拷锟街⒆达拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟阶拷猓拷锟斤拷乇锟酵伙拷锟斤拷锟斤拷浴锟斤拷锟斤拷诩锟斤拷杉锟斤拷锟斤拷旄斤拷糯锟斤拷臁拷住锟斤拷取锟窖雇达拷锟斤拷锟斤拷校锟斤拷锟较诧拷锟斤拷锟斤拷前锟斤拷锟斤拷膜锟斤拷锟阶ｏ拷锟斤拷锟斤拷锟酵革拷锟斤拷锟斤拷锟斤拷锟斤拷锟节ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷煽锟斤拷锟斤拷锟街拷植锟斤拷锟斤拷源执锟斤拷锟轿★拷
(锟斤拷)实锟斤拷锟揭硷拷锟�
1锟斤拷锟斤拷锟斤拷锟斤拷实锟斤拷锟揭硷拷锟饺憋拷锟斤拷锟斤拷锟斤拷浴锟斤拷锟斤拷锟斤拷诤突疃拷冢锟�80锟斤拷锟侥伙拷锟斤拷血锟斤拷锟斤拷锟届，锟节撅拷止锟节伙拷锟斤拷锟斤拷血锟斤拷锟洁降锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟角ｏ拷锟斤拷锟斤拷锟节诧拷锟斤拷幕锟皆臼憋拷冢锟揭诧拷锟皆�1锟斤拷5锟侥诧拷锟斤拷血锟斤拷锟斤拷锟届。锟斤拷耍锟斤拷锟斤拷锟斤拷锟斤拷锟窖拷锟斤拷锟斤拷锟斤拷锟今定憋拷锟斤拷锟斤拷锟斤拷稀锟斤拷锟揭伙拷锟斤拷妫拷锟斤拷俅锟斤拷锟絏锟斤拷片锟叫诧拷锟斤拷锟斤拷锟斤拷媳锟斤拷锟绞憋拷锟斤拷锟窖拷锟斤拷峡欤拷锟斤拷锟斤拷锟斤拷锟斤拷系锟斤拷锟斤拷荨锟�
2锟斤拷90锟斤拷锟斤拷锟较的伙拷锟斤拷锟斤拷锟斤拷织锟斤拷锟捷匡拷原(HLA-B27)为锟斤拷锟皆★拷锟斤拷HLA-B27锟斤拷锟斤拷锟斤拷胁慰锟斤拷锟街碉拷锟斤拷锟斤拷锟斤拷锟斤拷锟劫达拷锟竭度伙拷锟缴的诧拷锟剿革拷锟斤拷锟斤拷恕锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟饺阂诧拷锟�4%-8%锟斤拷锟皆ｏ拷锟斤拷说锟狡綡LA-B27锟斤拷锟斤拷也锟斤拷锟斤拷锟斤拷媳锟斤拷锟斤拷锟�
(锟斤拷)锟斤拷锟斤拷锟斤拷
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(1)锟斤拷锟侥关节改变：锟斤拷锟斤拷锟斤拷媳锟斤拷锟斤拷锟斤拷锟揭拷锟斤拷荨锟斤拷锟斤拷锟斤拷锟斤拷锟剿碉拷锟揭伙拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷墓亟锟絰锟斤拷片锟斤拷锟斤拷锟斤拷锟斤拷锟脚筹拷锟斤拷锟斤拷锟斤拷锟斤拷稀锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷墓亟诘锟絏锟斤拷片锟侥憋拷锟斤拷锟阶碉拷锟斤拷锟斤拷锟斤拷氐悖拷锟斤拷锟斤拷锟绞讹拷锟斤拷锟斤拷墓亟诘锟絏锟斤拷锟斤拷锟斤拷纽约锟斤拷准锟斤拷为5锟斤拷锟斤拷0锟斤拷为锟斤拷锟斤拷锟斤拷锟斤拷锟侥关节ｏ拷锟斤拷为锟斤拷锟斤拷锟斤拷锟侥关斤拷锟阶ｏ拷锟斤拷为锟斤拷锟侥关节憋拷缘模锟斤拷锟斤拷锟斤拷锟斤拷硬锟斤拷锟斤拷微小锟斤拷蚀锟斤拷锟戒，锟截斤拷腔锟斤拷缺锟秸拷锟斤拷锟轿拷锟斤拷墓亟锟斤拷锟斤拷锟接诧拷锟斤拷锟斤拷亟诒锟皆的ｏ拷锟斤拷锟斤拷澹拷锟斤拷锟绞达拷锟斤拷锟斤拷亟锟角伙拷锟绞э拷锟斤拷锟斤拷锟轿拷亟锟斤拷锟饺拷诤匣锟角恐憋拷锟津不帮拷写锟斤拷硬锟斤拷锟斤拷
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(锟斤拷)锟斤拷媳锟阶�
纽约锟斤拷准(1966锟斤拷)
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锟斤拷媳锟阶记匡拷锟斤拷锟斤拷锟酵达拷锟斤拷锟阶碉拷疃拷锟斤拷蕖锟斤拷锟酵达拷锟斤拷锟斤拷锟斤拷疃拷锟斤拷藓锟斤拷锟斤拷墓亟锟斤拷锟斤拷锟斤拷锟较凤拷锟斤拷锟斤拷锟揭拷浴锟斤拷锟剿ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷要锟姐，锟斤拷锟斤拷锟角诧拷锟斤拷锟斤拷系摹锟斤拷锟斤拷锟斤拷锟轿拷锟紿LA-B27锟斤拷然未锟斤拷锟斤拷锟斤拷媳锟阶硷拷锟斤拷锟斤拷锟斤拷锟角恐憋拷约锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷械墓锟较碉拷锟斤拷锟斤拷锟斤拷强直锟皆硷拷锟斤拷锟斤拷时HLA-B27锟轿匡拷锟斤拷值锟斤拷锟捷猴拷锟接★拷锟斤拷锟斤拷锟斤拷锟皆筹拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷痛锟斤拷息锟斤拷锟杰伙拷锟斤拷锟竭ｏ拷应锟斤拷锟缴憋拷锟斤拷锟斤拷锟借及时锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷墓锟斤拷锟斤拷锟轿籜锟斤拷片锟酵硷拷锟紿LA-B27锟斤拷锟斤拷锟斤拷学锟斤拷锟斤拷为锟斤拷HLA-B27锟斤拷锟斤拷痛锟斤拷双锟斤拷锟斤拷锟侥关斤拷锟斤拷(X锟竭憋拷锟斤拷)锟斤拷锟斤拷锟斤拷锟斤拷为锟斤拷锟斤拷锟斤拷
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2锟斤拷锟斤拷锟侥关节碉拷锟斤拷锟斤拷锟斤拷症 锟斤拷锟斤拷锟侥关节斤拷恕锟斤拷锟斤拷墓亟诨锟脚э拷怨亟锟斤拷住锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷墓亟锟斤拷住锟斤拷锟阶碉拷锟斤拷锟酵伙拷锟斤拷取锟�
锟侥★拷锟斤拷锟斤拷
锟斤拷锟斤拷锟截硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷希锟斤拷锟斤拷锟斤拷锟较碉拷目锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟狡ｏ拷锟斤拷锟斤拷锟斤拷锟狡碉拷目锟斤拷锟斤拷锟节匡拷锟狡诧拷锟斤拷姆锟秸癸拷锟斤拷锟街癸拷亟锟斤拷苹锟斤拷锟斤拷锟斤拷锟津缓斤拷锟劫达拷症状锟斤拷锟斤拷锟街关节的癸拷锟杰ｏ拷锟斤拷锟斤拷蟹稀锟揭拷锏斤拷锟斤拷锟侥匡拷墓丶锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟较猴拷锟斤拷锟斤拷锟斤拷锟狡ｏ拷锟斤拷取锟桔猴拷锟斤拷锟狡的达拷施锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷药锟斤、锟斤拷锟狡★拷锟斤拷锟狡等★拷锟斤拷锟斤拷锟绞拷怨亟锟斤拷锟揭伙拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷薷锟斤拷畏锟斤拷锟斤拷锟斤拷锟斤拷锟绞憋拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷频锟斤拷锟斤拷疲锟斤拷偌锟斤拷匣锟斤拷叩锟斤拷锟斤拷锟斤拷锟较ｏ拷锟斤拷锟皆达到锟饺讹拷锟斤拷锟介、锟斤拷锟斤拷锟斤拷痛锟斤拷锟斤拷锟斤拷锟狡程★拷锟斤拷锟劫诧拷锟叫和革拷锟狡癸拷锟杰碉拷目锟侥★拷
锟斤拷一锟斤拷一锟斤拷锟斤拷锟斤拷
1锟斤拷锟斤拷锟剿憋拷锟斤拷锟街癸拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟脚★拷锟斤拷锟角★拷锟斤拷锟斤拷锟酵恐撅拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷取锟斤拷锟斤拷锟斤拷锟斤拷稀锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷篇锟斤拷
2锟斤拷锟斤拷食锟狡凤拷 应锟矫革拷锟斤拷锟斤拷锟斤拷锟绞猴拷维锟斤拷锟截碉拷锟斤拷食锟斤拷锟斤拷食锟斤拷锟斤拷脂锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷应锟接凤拷锟狡硷拷锟斤拷锟斤拷锟斤拷停锟斤拷锟斤拷叹啤锟斤拷锟揭绞筹拷锟接ρ★拷貌锟斤拷锟斤拷锟斤拷锟角匡拷锟角碉拷食锟斤，锟斤拷每锟斤拷食锟斤拷2-3锟斤拷锟斤拷锟揭ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷莶锟斤拷锟斤拷没锟斤拷锟斤拷锟绞筹拷茫锟矫匡拷芸锟斤拷锟绞筹拷霉锟酵凤拷锟斤拷取锟斤拷锟斤拷食锟斤拷篇锟斤拷锟斤拷锟斤拷
3锟斤拷锟斤拷锟斤拷锟斤拷锟矫碉拷锟斤拷锟斤拷锟斤拷锟斤拷 为锟斤拷预锟斤拷锟斤拷锟斤拷锟斤拷锟脚★拷膝锟截节凤拷锟斤拷锟斤拷锟轿ｏ拷应锟斤拷锟斤拷锟斤拷锟竭撅拷锟斤拷注锟解保锟斤拷锟斤拷锟斤拷锟斤拷锟狡ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷要注锟解，锟节硷拷锟皆凤拷锟斤拷锟节革拷应注锟解，锟斤拷锟斤拷锟斤拷锟截伙拷锟轿讹拷锟斤拷锟斤拷锟节硷拷锟皆凤拷锟斤拷锟节★拷锟斤拷锟斤拷锟斤拷锟斤拷时应锟斤拷锟斤拷挺锟斤拷锟秸革拷锟斤拷锟斤拷锟斤拷锟斤拷散锟斤拷锟秸憋拷锟斤拷锟狡★拷写锟斤拷时锟斤拷锟斤拷要锟竭ｏ拷锟斤拷锟斤拷要锟酵★拷锟斤拷锟斤拷锟斤拷吖锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟接︼拷锟斤拷锟斤拷锟斤拷锟斤拷锟剿拷锟绞憋拷锟斤拷酶锟斤拷锟斤拷锟斤拷锟斤拷锟绞憋拷刹锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷远锟揭伙拷锟斤拷锟斤拷洳幌帮拷撸锟斤拷锟斤拷锟皆わ拷锟斤拷毡锟斤拷锟斤拷拧锟较ワ拷亟锟斤拷锟斤拷锟斤拷锟斤拷巍锟斤拷锟绞癸拷锟斤拷锟斤拷锟饺伙拷锟轿ｏ拷通锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷也锟缴得碉拷锟斤拷锟斤拷锟斤拷要锟斤拷睡硬锟藉床锟斤拷锟斤拷要锟斤拷睡锟斤拷席锟斤拷思锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷睡锟斤拷要锟斤拷锟皆★拷锟斤拷锟斤拷锟斤拷锟斤拷膝(锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷使锟斤拷锟竭感碉拷锟斤拷锟斤拷锟�)锟斤拷应锟斤拷锟斤拷锟斤拷锟斤拷位锟斤拷锟斤拷位锟斤拷锟斤拷锟斤拷时应注锟斤拷挺锟截★拷抬头锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟剿碉拷直锟斤拷锟斤拷锟狡ｏ拷锟斤拷要锟斤拷锟斤拷锟斤拷叩锟界、探头锟斤拷
锟斤拷锟斤拷锟斤拷锟剿讹拷锟狡凤拷
注锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟� 锟节诧拷锟斤拷锟斤拷锟缴碉拷锟斤拷锟斤拷拢锟斤拷锟斤拷锟斤拷锟皆的斤拷锟斤拷锟斤拷锟斤拷锟皆わ拷锟斤拷徒锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷蔚锟斤拷锟揭拷锟绞╋拷锟斤拷锟斤拷锟斤拷械锟斤拷锟斤拷锟斤拷锟斤拷锟剿讹拷锟斤拷锟斤拷锟斤拷锟剿讹拷锟斤拷锟斤拷锟竭讹拷锟斤拷锟斤拷展锟斤拷锟斤拷锟斤拷预锟斤拷锟斤拷椎锟截斤拷强直锟斤拷锟斤拷锟接肺伙拷锟斤拷锟斤拷锟斤拷锟矫ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟脚ｏ拷锟斤拷锟斤拷锟斤拷锟皆わ拷锟斤拷毡锟斤拷锟斤拷蔚锟斤拷锟斤拷谩锟�
(1)锟斤拷锟斤拷锟斤拷锟矫匡拷锟斤拷绯匡拷锟斤拷锟斤拷锟斤拷锟较⑹憋拷浼八帮拷锟接︼拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟剿讹拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟轿拷锟斤拷锟斤拷锟斤拷锟斤拷幕疃拷龋锟斤拷锟斤拷锟斤拷锟斤拷煤锟斤拷锟斤拷锟斤拷堋锟�
(2)锟斤拷椎锟剿讹拷锟斤拷头锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷前锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟阶拷锟斤拷锟斤拷约锟酵凤拷锟斤拷锟阶拷硕锟斤拷锟斤拷员锟斤拷志锟阶碉拷锟斤拷锟斤拷锟斤拷疃拷取锟�
(3)锟斤拷椎锟剿讹拷锟斤拷每锟斤拷锟斤拷锟斤拷锟斤拷锟剿讹拷锟斤拷前锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟阶拷锟斤拷澹癸拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷幕疃拷取锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷篇锟斤拷
(4)肢锟斤拷锟剿讹拷锟斤拷锟斤拷锟斤拷锟斤拷锟皆撑★拷斜锟脚ｏ拷锟斤拷肢前锟斤拷锟斤拷锟届，锟斤拷锟斤拷锟剿讹拷锟斤拷锟斤拷泳锟饺★拷锟斤拷泳锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷肢锟剿讹拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟接肺癸拷锟杰猴拷使锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟饺ｏ拷锟斤拷锟斤拷锟绞合碉拷全锟斤拷锟剿讹拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟较斤拷锟斤拷水锟斤拷锟斤拷锟斤拷锟斤拷删锟阶碉拷途锟斤拷锟斤拷锟斤拷锟斤拷恕锟�
(5)锟斤拷膝锟截节ｏ拷锟剿讹拷锟斤拷锟斤拷锟绞拷怨亟锟斤拷锟斤拷锟斤拷锟斤拷锟�
(6)锟斤拷锟脚分匡拷锟斤拷锟斤拷锟斤拷锟斤拷锟街诧拷锟斤拷锟斤拷抬头挺锟截ｏ拷目锟斤拷前锟斤拷锟斤拷锟斤拷锟斤拷式锟斤拷锟斤拷锟斤拷
(7)锟斤拷位同前锟斤拷锟斤拷锟斤拷时锟斤拷锟街憋拷拳锟斤拷锟斤拷锟斤拷锟斤拷暇锟斤拷锟斤拷平锟斤拷同时挺锟截ｏ拷锟界部锟斤拷锟斤拷锟斤拷拢锟斤拷头锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷穑锟斤拷锟绞憋拷锟皆拷锟�
(8)锟斤拷位锟斤拷前锟斤拷锟斤拷锟斤拷时锟斤拷锟斤拷肢锟斤拷直锟斤拷锟斤拷锟斤拷暇伲锟斤拷锟斤拷锟绞彼拷锟斤拷锟街憋拷锟斤拷锟斤拷锟角帮拷锟斤拷锟斤拷执锟斤拷锟斤拷妗�
(9)锟斤拷墙锟斤拷一锟阶达拷锟斤拷锟斤拷锟街分憋拷锟斤拷锟斤拷锟斤拷锟角斤拷希锟斤拷锟斤拷平锟诫，锟斤拷锟斤拷时锟斤拷锟斤拷前锟姐，锟斤拷锟斤拷前挺锟斤拷锟脚革拷锟斤拷要抬锟金，猴拷锟斤拷时锟斤拷原锟斤拷
(10)锟斤拷墙一锟斤拷之远站锟斤拷锟斤拷双锟斤拷锟斤拷直锟斤拷锟斤拷墙锟斤拷锟皆比硷拷锟斤拷锟斤拷锟斤拷锟绞憋拷锟斤拷猓帮拷鄞锟角斤拷锟斤拷夭锟角巴︼拷锟斤拷锟斤拷锟绞憋拷锟皆拷锟�
(11)双锟街高撅拷抓锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷牵锟斤拷锟斤拷也锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟较ｏ拷锟斤拷锟斤拷时锟较ｏ拷锟斤拷锟斤拷时锟斤拷原锟斤拷
(12)锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟皆参匡拷锟斤拷锟斤拷锟斤拷锟缴碉拷锟剿讹拷锟斤拷锟斤拷锟斤拷锟斤拷
锟斤拷锟斤拷锟斤拷锟解，太锟斤拷拳锟侥达拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟接硷拷锟斤拷锟斤拷锟斤拷转锟筋动锟斤拷锟斤拷锟届肌锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷预锟斤拷锟秸憋拷锟斤拷锟轿★拷
锟斤拷锟较的讹拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟剿匡拷锟皆达拷锟斤拷选锟今几节ｏ拷一锟斤拷一锟斤拷锟斤拷锟�1-2锟轿ｏ拷每锟斤拷锟斤拷锟斤拷锟截革拷8-10锟轿★拷
(13)锟斤拷锟斤反锟斤拷锟狡凤拷锟斤拷强直锟皆硷拷锟斤拷锟阶碉拷应锟矫ｏ拷强直锟皆硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷删锟阶碉拷锟斤拷锟阶碉拷锟斤拷殴亟诘锟角恐憋拷锟斤拷锟斤拷锟揭拷锟角匡拷锟叫╋拷锟轿伙拷亩锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟轿伙拷锟斤拷锟揭伙拷锟斤拷虏锟斤拷锟揭伙拷危锟斤拷锟斤拷丝锟斤拷锟斤拷锟斤拷钥锟斤拷锟斤拷约锟斤拷锟斤拷骞︼拷锟斤拷锟斤拷酆锟斤拷锟斤拷坪锟斤拷锟斤拷锟斤拷鸩礁锟斤拷疲锟斤拷佣锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷爰诧拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷摹锟�
1)锟斤拷椎 锟斤拷锟斤拷锟斤拷椎锟侥活动锟饺ｏ拷锟斤拷锟斤拷前锟斤拷锟斤拷锟斤拷锟届、锟斤拷锟斤拷锟斤拷锟斤拷转锟斤拷
2)锟斤拷椎 锟斤拷为锟斤拷锟斤拷锟斤拷遣锟斤拷锟街革拷鼐啵拷锟轿拷锟饺凤拷锟斤拷歉锟斤拷锟絊chober实锟介。锟斤拷指锟截距，指锟斤拷锟斤拷锟斤拷位锟斤拷双膝锟截斤拷锟斤拷直位锟斤拷双锟姐并拢锟斤拷锟斤拷锟藉尽锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟侥讹拷锟斤拷锟斤拷锟斤拷锟斤拷指锟解到锟斤拷锟斤拷木锟斤拷耄伙拷诟锟斤拷锟絊chober实锟介，锟斤拷双锟侥猴拷锟较硷拷锟斤拷锟竭碉拷锟叫碉拷锟斤拷锟斤拷锟斤拷10cm锟斤拷一锟斤拷锟斤拷锟斤拷锟斤拷一锟斤拷直锟竭ｏ拷锟斤拷锟斤拷皮锟斤拷锟诫脊锟斤拷锟侥斤拷锟斤拷锟斤拷一锟姐，锟接此碉拷锟截硷拷锟斤拷锟斤拷锟斤拷10cm锟斤拷锟斤拷一锟姐）锟斤拷锟斤拷锟斤拷前锟斤拷时锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟诫，锟斤拷锟斤拷锟剿可达拷16-22cm锟斤拷锟斤拷锟斤拷锟斤拷强直锟皆硷拷锟斤拷锟阶斤拷锟斤拷锟斤拷1-2cm锟斤拷
3)锟脚关斤拷 锟斤拷然锟脚关斤拷锟叫讹拷锟斤拷锟剿讹拷锟斤拷式锟斤拷锟斤拷锟斤拷锟节诧拷锟斤拷锟斤拷说锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷为锟斤拷要锟斤拷锟斤拷锟斤拷锟斤拷锟脚关节碉拷锟斤拷锟斤拷锟斤拷锟杰ｏ拷锟斤拷锟斤拷强直锟皆硷拷锟斤拷锟阶的诧拷锟斤拷锟斤拷说锟斤拷锟角憋拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟津单的凤拷锟斤拷锟角诧拷锟斤拷锟轿地距，指锟斤拷锟角诧拷锟斤拷锟斤拷锟铰蹲讹拷锟斤拷锟斤拷锟斤拷锟脚碉拷锟斤拷锟斤拷拇锟街憋拷锟斤拷搿�
(4)锟斤拷锟斤拷锟绞讹拷 锟斤拷锟斤拷锟斤拷锟桔ｏ拷锟斤拷使锟角关斤拷锟狡伙拷锟斤拷锟斤拷锟轿成残废ｏ拷锟斤拷锟斤拷强锟斤拷锟斤拷息锟斤拷锟斤拷使锟角关斤拷丧失锟筋动锟斤拷锟斤拷锟斤拷也锟斤拷锟斤拷刹蟹稀锟斤拷锟斤拷锟斤拷俅锟斤拷锟斤拷椋拷锟斤拷锟酵达拷芄锟斤拷锟斤拷艿锟斤拷锟斤拷锟铰ｏ拷注锟斤拷亟诘墓锟斤拷芑疃拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷诩锟斤拷锟斤拷幕指锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷诒锟斤拷止亟诠锟斤拷埽锟斤拷锟街癸拷锟斤拷锟劫残废的凤拷锟斤拷锟斤拷锟斤拷锟斤拷一锟姐不要全锟捷ｏ拷应锟斤拷锟斤拷锟揭恍┮伙拷锟斤拷缘墓锟斤拷锟斤拷锟酵憋拷锟斤拷锟斤拷锟界寒湿邪锟斤拷锟斤拷袭锟斤拷锟斤拷锟斤拷锟矫帮拷锟斤拷锟斤拷耍锟斤拷锟斤拷獬わ拷诖锟斤拷锟斤拷锟斤拷锟斤拷墓锟斤拷锟斤拷锟斤拷实锟斤拷锟斤拷啤锟斤拷锟斤拷锟斤拷锟�
锟斤拷锟斤拷锟斤拷药锟斤拷锟斤拷锟斤拷
1锟斤拷锟斤拷锟狡诧拷锟斤拷药锟斤拷
(1)锟斤拷锟斤拷锟角帮拷锟斤拷锟�(sulfasalazine锟斤拷SSZ)锟斤拷锟斤拷始0锟斤拷25锟斤拷锟轿ｏ拷每锟斤拷3锟轿ｏ拷每锟斤拷锟斤拷锟斤拷0锟斤拷25锟斤拷锟轿ｏ拷锟斤拷1锟斤拷0锟斤拷锟轿ｏ拷每锟斤拷3锟斤拷维锟街★拷锟斤拷锟斤拷锟斤拷锟斤拷锟节★拷锟斤拷锟酵诧拷锟剿★拷锟斤拷药锟节硷拷注锟斤拷锟斤拷血锟襟、革拷锟斤拷锟斤拷锟杰★拷
(2)锟阶帮拷锟斤拷锟�(methotrexate锟斤拷MTX)锟斤拷锟节凤拷锟斤拷锟斤拷注锟戒，l0-15mg锟斤拷锟轿ｏ拷每锟斤拷1锟轿★拷锟斤拷锟斤拷锟斤拷应锟斤拷胃锟斤拷锟斤拷锟斤拷应锟斤拷锟斤拷腔锟阶★拷锟斤拷锟斤拷锟斤拷锟狡等★拷
(3)锟阶癸拷锟劫讹拷甙锟斤拷10-20mg锟斤拷锟轿ｏ拷锟节凤拷锟斤拷每锟斤拷3锟轿★拷锟斤拷锟斤拷MTX锟斤拷锟矫ｏ拷锟斤拷锟狡诧拷锟斤拷锟斤拷锟截★拷锟斤拷展锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟叫э拷锟斤拷锟斤拷训锟紸S锟斤拷锟剿★拷锟阶癸拷锟劫讹拷甙锟叫猴拷强锟斤拷锟斤拷锟斤拷锟斤拷殖锟斤拷锟杰碉拷锟斤拷锟矫ｏ拷锟斤拷锟皆撅拷锟斤拷锟斤拷锟斤拷锟斤拷女锟皆闭撅拷锟斤拷锟斤拷停药锟斤拷锟缴恢革拷锟斤拷也锟斤拷锟斤拷皮锟筋，胃锟斤拷锟斤拷锟斤拷应锟斤拷血WBC锟铰斤拷锟斤拷锟斤拷锟斤拷使锟斤拷皮锟斤拷色锟截筹拷锟脚ｏ拷指锟阶变薄锟饺★拷
2锟斤拷锟斤拷锟斤拷症状药锟斤：
(1)锟斤拷锟斤拷锟藉抗锟斤拷药(NSAIDs)锟斤拷锟斤拷锟侥憋拷AS锟斤拷锟斤拷然锟斤拷锟教ｏ拷锟斤拷选锟斤拷锟斤拷锟斤拷痛(锟斤拷锟斤拷锟斤拷锟斤拷)锟斤拷锟斤拷锟斤拷摇锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷值取锟斤拷锟斤拷锟揭╋拷锟轿伙拷锟斤拷锟斤拷锟斤拷锟皆的匡拷锟斤拷药锟斤，锟斤拷锟斤拷效锟截伙拷锟解病锟斤拷症状锟斤拷锟斤拷卟锟斤拷说锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟揭╋拷锍わ拷诜锟斤拷锟斤拷壮锟斤拷锟轿革拷锟斤拷锟斤拷碳锟斤拷锟斤拷锟斤拷锟斤拷锟绞诧拷锟斤拷应锟斤拷锟斤拷锟斤拷锟接ｏ拷同时锟斤拷锟斤拷锟矫凤拷锟斤拷锟斤拷药锟斤拷愿锟斤拷撇锟斤拷锟斤拷锟斤拷媒锟斤拷锟接︼拷锟斤拷锟斤拷锟斤拷药锟斤。
(2)锟斤拷皮锟绞硷拷锟截ｏ拷锟斤拷锟斤拷NSAIDs锟斤拷锟斤拷锟斤拷效锟斤拷锟介急锟皆猴拷膜锟阶★拷锟斤拷锟斤拷锟桔等关斤拷锟斤拷锟斤拷只锟斤拷锟斤拷氐锟斤拷锟斤拷芄亟锟斤拷撞锟斤拷恕锟斤拷亟锟斤拷锟阶拷锟斤拷锟斤拷锟叫★拷锟斤拷锟斤拷诜锟斤拷锟斤拷啤锟斤拷锟斤拷锟叫э拷锟斤拷锟紸S锟斤拷症状锟斤拷锟斤拷锟斤拷锟斤拷锟截憋拷锟斤拷锟叫★拷锟斤拷锟斤拷锟绞癸拷没锟斤拷锟斤拷锟斤拷锟截的诧拷锟斤拷症锟斤拷锟斤拷瞬锟斤拷岢拷锟斤拷诖锟斤拷锟斤拷谴锟斤拷锟斤拷使锟矫ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟杰关节诧拷锟戒，锟桔诧拷锟斤拷锟斤拷锟斤拷一锟斤拷锟斤拷锟斤拷锟揭╋拷锟斤拷锟斤拷锟斤拷锟斤拷药锟斤拷锟斤拷撇锟斤拷锟斤拷锟侥诧拷锟剿ｏ拷锟斤拷小锟斤拷锟斤拷锟斤拷锟矫ｏ拷锟斤拷强锟斤拷锟斤拷为锟斤拷7锟斤拷5-15mg锟斤拷锟斤拷为锟剿ｏ拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷实锟斤拷哟锟斤拷锟斤拷锟斤拷
(锟斤拷)锟斤拷医锟斤拷证锟斤拷锟斤拷
锟斤拷为锟斤拷之锟斤拷锟斤拷锟斤拷锟斤拷锟角ｏ拷锟斤拷锟斤拷锟筋。锟斤拷锟斤拷锟侥诧拷锟斤拷锟斤拷锟截硷拷锟角革拷锟斤拷锟斤拷锟介，锟斤拷锟杰风寒湿锟斤拷之邪锟街凤拷锟斤拷锟铰撅拷锟斤拷(锟斤拷要锟角讹拷锟斤拷)锟斤拷锟借，锟斤拷为锟矫诧拷锟斤拷锟斤拷锟狡憋拷锟斤拷锟斤拷锟斤拷锟斤拷锟教诧拷锟斤拷锟斤拷锟斤拷锟借督壮锟角★拷通锟斤拷锟斤拷邪为锟斤拷锟斤拷锟斤拷锟斤拷应偏锟斤拷锟斤拷邪锟斤拷锟叫★拷锟斤拷锟斤拷锟斤拷壮锟斤拷锟斤拷锟斤拷为锟斤拷锟斤拷
锟斤拷证锟斤拷锟斤拷药锟斤拷前锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟接诧拷锟斤拷壮锟斤拷药锟斤拷锟斤拷锟斤拷锟斤拷锟�
(锟斤拷)锟斤拷锟斤拷锟斤拷锟斤拷 锟斤拷锟节硷拷锟斤拷锟斤拷锟截斤拷锟斤拷锟截伙拷锟斤拷锟竭ｏ拷锟叫斤拷锟斤拷锟斤拷锟斤拷亟锟斤拷没锟斤拷锟斤拷锟�
锟藉、锟斤拷锟斤拷症锟斤拷预锟斤拷
AS锟侥诧拷锟斤拷症锟诫疾锟斤拷锟斤拷锟斤拷锟叫关ｏ拷锟斤拷锟截的诧拷锟斤拷锟斤拷锟结及锟斤拷围锟截斤拷强直锟斤拷锟斤拷锟筋不锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷亟锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟桔诧拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟铰斤拷锟斤拷锟侥凤拷锟斤拷锟斤拷锟斤拷锟斤拷锟金，碉拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷俪锟斤拷帧锟皆�85锟斤拷锟侥伙拷锟斤拷预锟斤拷虾谩锟斤拷锟斤拷锟斤拷诩锟斤拷锟斤拷魏谓锥味锟斤拷锟斤拷锟饺伙拷锟斤拷锟斤拷喔达拷锟斤拷嘟伙拷妗ｏ拷锟斤拷洳★拷榉⒄癸拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟揭拷锟斤拷锟絣0-20锟斤拷锟脚凤拷展为锟斤拷锟斤拷强直锟斤拷约锟斤拷65%锟侥诧拷锟剿撅拷锟斤拷恰锟斤拷锟斤拷锟狡ｏ拷锟杰硷拷锟斤拷锟斤拷锟斤拷锟斤拷锟酵癸拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟狡ｏ拷锟斤拷锟斤拷锟斤拷锟截ｏ拷锟斤拷锟斤拷刹屑锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟叫合诧拷症锟斤拷锟叫匡拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷衰锟竭★拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟斤拷锟街拷锟斤拷锟阶碉拷锟斤拷酆筒锟斤拷锟斤拷锟教�
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