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病人男 26岁因腹部隐痛4个月,咳嗽、胸闷、气短伴发热1月余,于1991年3月29日入院。检查:T37.8℃ P132 R26 BP13.9/10.3KPa。Hb12g/L,ESR87mm/1h,CEA<50ng.痰结核菌阳性。心电图示窦性心动过速、肢体导联低电压。X线胸片示空洞性肺结核,双侧胸腔积液。B超示:两下胸各8cm无回声区。腹腔4.5cm无回声区。超声心动图:心包1.8cm无回声区,诊断心包积液。左侧胸腔抽胸水800ml,乳白色,比重1.010,WBC9.6×10~6/L,多核0.5,单核0.5,
Male patient 26 years old due to abdominal pain for 4 months, cough, chest tightness, shortness of breath with fever more than 1 month, March 29, 1991 admitted. Check: T37.8 ℃ P132 R26 BP13.9 / 10.3KPa. Hb12g / L, ESR87mm / 1h, CEA <50ng. Mycobacterium tuberculosis positive. ECG shows sinus tachycardia, limb lead low voltage. X-ray showed hollow tuberculosis, bilateral pleural effusion. B super show: two under the chest 8cm no echo area. Abdominal 4.5cm no echo area. Echocardiography: Pericardial 1.8cm anechoic area, diagnosis of pericardial effusion. Left chest pleural effusion 800ml, milky white, specific gravity 1.010, WBC9.6 × 10 ~ 6 / L, multi-core 0.5, mononuclear 0.5,