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1病例介绍患者男性,20岁,“咳嗽伴全身水肿、腹胀1周”入院。患者与一周前无明显诱因出现全身水肿,以眼睑和下肢为重,伴咳嗽、咳痰,腹胀,活动后气短。无盗汗、午后低热、痰中带血、胸痛等症状。入院查体:T36℃P84次/minR21次/minBP94/70mmHg神清,精神差,双眼睑水肿,双肺呼吸运动减弱,双下肺叩浊,语颤减弱,呼吸音减低,未闻及干湿性啰音,腹胀,全腹无压痛、反跳痛,肝脾肋下未触及,移动性浊音阳性。双下肢压陷性水肿。胸部正位片:双侧胸腔积液,右侧为
1 case description Male patient, 20 years old, “cough with systemic edema, bloating 1 week ” admission. Patients with no obvious incentive a week ago systemic edema, to the eyelids and lower extremities as the most important, with cough, expectoration, bloating, shortness of breath after the event. No night sweats, low heat in the afternoon, bloody sputum, chest pain and other symptoms. Admission examination: T36 ℃ P84 times / minR21 times / minBP94 / 70mmHg Shenqing, poor spirits, double eyelid edema, weakening of respiratory movement of the lungs, double lower lung turbid, weakened tremor, decreased respiratory sounds, no smell and wet A rales, abdominal distension, no abdominal pain, rebound tenderness, no contact with liver and spleen ribs, shifting dullness positive. Double lower limb subsidence edema. Chest anteroposterior film: bilateral pleural effusion, the right is