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急性淋巴细胞白血病(简称急淋)并发大量心包积液者罕见,现将我院误诊1例报告如下: 患者,男,19岁。因全身浮肿1周于1988年3月29日入院。近3个月来间断性发热,活动后心慌、气短、乏力。20天来症状加重,左侧卧位时咳嗽,胸痛,呼吸困难,不能平卧。近1周来全身浮肿。曾在当地医院用链霉素、强的松等药物治疗无效。既往健康。体检:T 36.5℃,P 120次/分,有奇脉,R28次/分,Bp17.3/11.9kPa(130/90mmHg)。神志清楚,精神不振,面色苍白、浮肿,口唇紫绀,颈静脉怒张,甲状腺不肿大。心尖搏动不清,心浊
Acute lymphoblastic leukemia (referred to as acute lymphoid) complicated by a large number of pericardial effusion are rare, now misdiagnosed as a report of our hospital are as follows: Patients, male, 19 years old. Due to systemic swelling 1 week in March 29, 1988 admission. In the past 3 months intermittent fever, palpitation after activities, shortness of breath, fatigue. 20 days to increase the symptoms, left cough, chest pain, breathing difficulties, can not lie down. Nearly a week to body edema. In local hospitals with streptomycin, prednisone and other drug treatment is invalid. Past health. Physical examination: T 36.5 ℃, P 120 beats / min, there Qi pulse, R28 beats / min, Bp17.3 / 11.9kPa (130 / 90mmHg). Conscious, lackluster, pale, edema, cyanotic lips, jugular vein engorgement, thyroid enlargement. Apex beat, heart turbid