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本例有以下特点:(1)中年男性,以往有结核性胸膜炎史;(2)病程3个月,早期即出现血栓性静脉炎,且呈游走性,1个半月后出现恶心、纳减、腹胀、全身情况逐渐恶化;(3)慢性乳糜腹水;(4)抗炎、抗痨和抗凝治疗效果差。本例主要的临床特点之一是游走性血栓性静脉炎。血栓性静脉炎临床上可区分为两种:一、良性血栓性静脉炎:比较常见,可单独侵犯一条静脉,有血栓形成。多由于肢体外伤血管壁受损害、静脉曲张、局部化脓性感染、静脉注射高渗溶液或其它刺激性药物等引起。临床表现主要为肢体疼痛,触诊常可发现患肢
This case has the following characteristics: (1) middle-aged men, the past history of tuberculous pleurisy; (2) the course of 3 months, early thrombophlebitis, and was walking, 1 and a half months after nausea, satisfied Reduced, bloating, general condition deteriorating; (3) chronic chyle ascites; (4) anti-inflammatory, anti-tuberculosis and anticoagulant therapy is poor. One of the major clinical features of this case is migratory thrombophlebitis. Thrombophlebitis can be clinically divided into two types: First, benign thrombophlebitis: more common, can be a single violation of a vein, thrombosis. More due to physical injury vascular wall damage, varicose veins, localized purulent infection, intravenous hypertonic solution or other irritating drugs caused. The main clinical manifestations of limb pain, palpation often found limbs