论文部分内容阅读
患者,男,47岁。因低热、胸闷、气促、乏力月余于1997年3月2日入院。既往身体健康。体检:体温37.6℃,脉搏110次/分,呼吸24次/分,血压13/11kPa。端坐呼吸,消瘦体质。全身皮肤未见出血点及色素斑块,仅左腋窝可触及两个黄豆大淋巴结,质中,活动度好,无压痛。颈静脉稍怒张,肝颈征可疑,气管左偏。右肩胛角下叩诊浊音,语颤消失。右肺下部呼吸音减弱,左肺呼吸音清,未闻及哕音。心界向两侧扩大,心率110次/分,律整,心音遥远,未闻及杂音及心包磨擦音,有奇脉。上腹平软,肝脾触诊不满意,移动性浊音阴性。实验室检查:白细胞13.0×10~9/L其中中性细胞0.77,淋
Patient, male, 47 years old. Due to low fever, chest tightness, shortness of breath and lack of energy, Yue was admitted to hospital on March 2, 1997. Past health. Physical examination: body temperature 37.6°C, pulse 110 beats/minute, breathing 24 beats/minute, blood pressure 13/11 kPa. Sitting breathing, weight loss constitution. There were no bleeding spots and pigment patches on the whole body skin. Only the left axillary fossa touched two large soybean lymph nodes. The quality was good, and there was no tenderness. The jugular vein was slightly engorged, the neck was suspicious, and the trachea was leftward. The voice at the right shoulder was diagnosed as voiced and the speech tremble disappeared. The breath sounds in the lower right lung were weakened, and the breath sounded in the left lung was unclear. The heart has expanded to both sides with a heart rate of 110 beats per minute. It is regular, with a long-distance heart sound, no murmurs and pericardial friction, and odd pulse. The upper abdomen is soft and the liver and spleen are not satisfied with palpation, and the mobile dullness is negative. Laboratory examination: leukocytes 13.0 × 10 ~ 9 / L where neutral cells 0.77, shower