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患者女，42岁，1个月前无明显诱因出现双手腕关节肿痛，晨起后双关节僵硬、握拳不紧，最可能的诊断是
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Passage 1Everyone knows that weddings—the most elaborate and costly form of old school pageantry still acceptable in modern society—are stupid expensive. But it turns out Americans are now blowing even more money than ever before on what’s supposed to be the most magical day of any couple’s life together. Money that, to be honest, could be spent on much, much cooler stuff.The Knot released its annual wedding survey this week, with findings showing that couples are spending a mind-numbing average of $32,641 on matrimonial celebrations. The study includes data from nearly 18,000 pairs across the country. While the cost of a wedding varied greatly from city to city—reaching a nauseating high of $82,300 in Manhattan—the price was steep no matter where couples chose to get hitched. All this despite the fact that weddings (and marriages in general, honestly) can be a fairly impractical thing to invest in. Seriously, even 50 Cent doesn’t spend as much in a day as you’re spending on a reception band alone. Think about that.So rather than buying into the Marriage Industrial Complex on a union that may or may not work out, wouldn’t it make more sense to save your hard-earned money by forgoing the big ceremony for the major expenses you’re likely to face in married life You know, like a mortgage. Or braces for your wallet-draining children-to-be. And if your fianceé is dead set on a fairytale wedding You could always just blow your financial load on a plenty fulfilling single life.With nearly $33,000 to spend in the life of a singledom, you could get pretty far when it comes to amenities and entertainment. Perhaps the best part of being free from the shackles of wedding planning is the opportunity to treat yourself. Like, why drop $1,400 on a frilly dress you’ll wear once before it turns to moth food when you can rock the most expensive shoes of the season and look great doing itAnd while weddings are supposed to be all about the happy couple, everyone knows that’s bull, because you have to feed your guests and provide them entertainment and put a roof over their heads for a couple of hours and likely go into debt doing it.In addition to simply having fun, there are some more practical ways to spend your wedding purse as well. For instance, purchasing and providing for a nice house cat rather than dropping major dough on finger bling intended for fending off hotties for the rest of your life. Fluffy won’t care if you bring home someone new every weekend—he’ll just hate everyone indiscriminately.
人工肘关节置换的适应证，除外
以下说法正确的是
葛花解醒汤的功用是
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