论文部分内容阅读
对病原学确诊结核性心包积液1例分析如下。1病历摘要女,78岁,已婚。以发热,咳嗽伴胸闷气短半个月入院。T38℃左右,咳嗽,黄痰,伴气短,乏力,夜间不能平卧。院前曾于中国医科大学附属第一医院诊为心包积液,支气管肺炎,抗炎治疗1个月余无效,行心包穿刺液示为血性转来我院。既往患慢支10 a余,肠道肿瘤切除术后12 a,甲亢1 a。入院查体:慢性消瘦病容,T 37.7℃,P 92次/min,R 26次/min,BP 113/70 mm Hg,颈静脉充盈,肝颈静脉回流征阴性。双肺下闻及少许湿啰音,心前区稍隆起
Etiological diagnosis of tuberculous pericardial effusion 1 case analysis is as follows. 1 medical record summary Female, 78 years old, married. To fever, cough with chest tightness short of half a month admitted to hospital. T38 ℃ or so, cough, yellow sputum, shortness of breath, fatigue, night can not lie down. Hospital before the First Affiliated Hospital of China Medical University diagnosed as pericardial effusion, bronchial pneumonia, anti-inflammatory treatment for more than 1 month invalid, pericardial puncture fluid showed bloody transferred to our hospital. Past suffering from chronic bronchitis more than 10 a, intestinal tumor resection after 12 a, hyperthyroidism 1 a. Admission examination: chronic wasting disease, T 37.7 ℃, P 92 beats / min, R 26 beats / min, BP 113/70 mm Hg, jugular vein filling, liver jugular venous reflux syndrome. Smell a little under the lungs and wet rales, slightly elevated heart area