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Rokitansky 1842年首先将淀粉样变作为单独病理课题。Chugh报告发生率为0.09～8％。国内文献仅报道7例(原发性4例,骨髓瘤性3例)。我科收治一例,结合复习文献作一简要介绍。吴××,男性,58岁,1982年12月31日入院。2年来舌体渐胀大,声嘶口干,心悸气喘,下肢浮肿。既往体健,家族中无类似病史。体检阳性所见:半卧位,唇指发绀,巨舌(图1～2见封三,下同),两领下腺肿大(图3),颈静脉怒张,两下肺闻及湿罗音,心界向两侧扩大,心率120次/分,偶闻早搏。胸背郎皮肤有瘀斑,腹壁有片状色素沉着(图
Rokitansky first identified amyloidosis as a separate pathology in 1842. Chugh report the incidence of 0.09 to 8%. Domestic literature only reported 7 cases (4 cases of primary, 3 cases of myeloma). A case of our department, combined with a brief review of the literature. Wu XX, male, 58 years old, admitted to hospital on December 31, 1982. 2 years tongue swell, hoarseness dry mouth, palpitations, asthma, lower extremity edema. Past physical health, no similar family history. Physical examination positive See: semi-recumbent position, cyanotic lips, giant tongue (see Figure 1-2 seal three, the same below), two under the gland enlargement (Figure 3), jugular vein engorgement, two lung smells and wet Luo Tone, heart to expand on both sides, heart rate 120 beats / min, heard premature beat. Cheek Tiaolian skin ecchymosis, abdominal flake pigmentation (Figure