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患者,女性,50岁,因全身水肿,心悸伴乏力月余,纳差、恶心、呕吐7天入院。入院前一个月晨起出现面部水肿,活动后心悸、双下肢水肿、乏力、体重下降。近7天来,消化道症状逐渐加重,不能进食。月经周期紊乱5年,闭经2月。查体:BP18/10kPa,心率98次/分,消瘦体型,面部轻度水肿,甲状腺不肿大。双下肢凹陷性水肿(+)。实验室:白细胞3.3×10~9/L;Hb108/L,总蛋白55g/L,白蛋白30.0g/L;血钾3.0mmol/L,尿素氮、肌酐在正常范围。心电图:窦性心动
Patients, women, 50 years old, due to systemic edema, palpitations with fatigue more than a month, anorexia, nausea, vomiting admitted to hospital for 7 days. Facial edema occurred one month prior to admission. Palpitations, edema of both lower extremities, weakness, and weight loss occurred after the activity. Nearly 7 days, gastrointestinal symptoms gradually increased, can not eat. Menstrual cycle disorders for 5 years, amenorrhea in February. Physical examination: BP18 / 10kPa, heart rate 98 beats / min, weight loss, mild facial edema, thyroid enlargement. Depression of both lower extremity edema (+). Laboratory: white blood cells 3.3 × 10 ~ 9 / L; Hb108 / L, total protein 55g / L, albumin 30.0g / L; serum potassium 3.0mmol / L, urea nitrogen, creatinine in the normal range. ECG: sinus heartbeat