淋巴肉瘤性白血病误诊为结核性胸膜炎胸腔积液1例

• 作 者: 周惠珍
• 机 构: 保定地区医院内科,
• 出 处: 医学理论与实践
• 发表日期: 1990年01期
• 关键词: 瘤性白血病 胸背痛 胸腔积液 呼吸困难 脾外伤 抗痨治疗 症状加剧 白血肉瘤 胸背疼痛 促发

患者,男,21岁,农民,主因右侧胸背痛,伴呼吸困难2月,近两日来症状加剧,于1983年1月26日入院。患者于2月前无明显诱因感右胸背疼痛,伴呼吸困难、干咳、低烧,无盗汗。曾住当地县医院抽胸水4次均为血性,量约2000ml,诊为结核性胸膜炎,经抗痨治疗2月无效,症状反而加重。入院前两天胸背痛难忍,气促发憋,鼻出血不止。既往无结核病史。1975年因脾外伤做脾

Patients, male, 21 years old, farmer, mainly due to chest pain on the right, with respiratory difficulties in February, the past two days to aggravate the symptoms, admitted January 26, 1983. Patients with no obvious incentive to have a right chest and back pain, with difficulty breathing, dry cough, low fever and no night sweats. Lived in the county hospital hydrothorax 4 times were bloody, the amount of about 2000ml, diagnosed as tuberculous pleurisy, anti-tuberculosis treatment by February invalid, the symptoms have worsened. Two days before admission, chest and back pain unbearable, shortness of breath hold back, nose bleeding more than. No past history of tuberculosis. 1975 spleen injury due to spleen