本期病例:患者:李女士45岁临床表现:口腔干燥3年余,现口干加重;难以下咽,伴眼干、关节轻微疼痛、乏力。就诊史:曾先后多次按类风湿治疗,疼痛好转后即停用药物。但近期症状加重。临床诊断:干燥综合征。诊断依据:口眼干燥,无唾无泪。进食干性食物时咽下困难。查泪流量:左右眼均为0。唾液流量:0。 Current cases: patients: Ms. Li 45 years old Clinical manifestations: more than 3 years of oral dry mouth is dry mouth; difficult to swallow, with dry eyes, slight joint pain, fatigue. Visit history: Has repeatedly by rheumatoid treatment, the withdrawal of pain after the withdrawal of drugs. But the recent symptoms worsened. Clinical diagnosis: Sjogren’s syndrome. Diagnosis is based on: dry mouth, no spit no tears. Dysphagia when eating dry food. Check tear flow: left and right eyes are 0. Saliva flow: 0.