论文部分内容阅读
患男,34岁,以心慌、气短5月,加重1周入院。5月前咳嗽,咯白稀痰,时有心慌、气短,持续2月并出现下肢水肿,夜间阵发性呼吸困难。当地胸片示:左侧胸腔积液。按“结核性胸膜炎”予三联抗痨及强的松治疗半月,症状稍有减轻。2月前上述症状加重,心脏超声示:心包积液。胸腔及心包穿刺液均为淡黄色渗出液,继续抗痨效果差。近1周来,上述症状加重,伴盗汗、消瘦。查体:T37℃～
Suffering from a man, 34 years old, with palpitation and shortness of breath in May, he was admitted to the hospital one week later. 5 months before the cough, slightly pale and sparse, sometimes palpitation, shortness of breath, sustained in February and lower extremity edema, nocturnal paroxysmal dyspnea. The local chest radiograph shows: left pleural effusion. According to “tuberculous pleurisy” to triple resistance and prednisone treatment for half months, the symptoms slightly reduced. 2 months before the above symptoms worsened, echocardiography showed: pericardial effusion. Thoracic cavity and pericardial puncture fluid are light yellow exudate, and the effect of continuous anti-convulsions is poor. In the past 1 week, the above symptoms have worsened with sweating and wasting. Physical examination: T37°C～