论文部分内容阅读
例1,女,51岁。反复全身浮肿4年,近期加重伴腹胀6天入院。查体:T36.5℃,P80次/分,R26次/分,PP16/11kPa。眠睑、颈部、腹壁及双下技明显浮肿,心肺正常,腹部明显膨隆,张力高,腹水征阳性。尿常规:蛋白 ,红细胞+白细胞+颗粒管型 ;血常规、大便常规正常;血沉70mm/h,Cr198.9mmol/L.血浆白蛋白19g/L,球蛋白21g/L,甘油三脂3.16mmol/L,胆固醇14mmol/L,β—脂蛋白23mmol/L;腹水呈乳白色,比重1.010,细胞数6.8×10~6/L,多核78%。L22%,蛋白0.92g/L,乳糜试验阴性,甘油三脂1.0m～
Example 1, female, 51 years old. Repeated systemic edema for 4 years, recent increase with abdominal distension 6 days admission. Physical examination: T36.5 ℃, P80 beats / min, R26 beats / min, PP16 / 11kPa. Sleep eyelids, neck, abdomen and double under the apparent edema, normal heart and lungs, the abdomen was significantly bulging, high tension, ascites sign positive. Urine routine: protein, erythrocytes + leucocytes + granular tube type; blood, stool routine normal; ESR 70mm / h, Cr198.9mmol / L. Plasma albumin 19g / L, globulin 21g / L, triglyceride 3.16mmol / L, cholesterol 14mmol / L, β-lipoprotein 23mmol / L; milky white ascites, the proportion of 1.010, the number of cells 6.8 × 10 ~ 6 / L, multi-core 78%. L22%, protein 0.92g / L, chylous test negative, triglyceride 1.0m ~