患者男 ,41岁 ,因双手青紫半年加重伴四肢疼痛无力 3个月 ,于 1999年 12月 4日入院。同年 6月曾在当地医院行胃癌根治术 ,术后未放疗、化疗 ,一般情况较好。出院 1个月因过度劳累 ,洗澡受凉而引起肩、膝关节疼痛 ,四肢沉重无力 ,两手无明显诱因阵发性苍白、麻木、发凉、疼痛 , The patient, male, 41 years old, was aggravated by her bruised hands for three months with aggravation of limb pain. She was admitted on December 4, 1999. In June the same year in a local hospital gastric cancer radical surgery, postoperative radiotherapy and chemotherapy, the general situation is better. Discharged 1 month due to over-exertion, cold shower caused by shoulder and knee pain, limbs, weakness, no obvious incentive for both hands Paroxysmal, numbness, cold, pain,