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粘液水肿性心包积液因症状隐袭,心脏体征不典型,易被误诊。我们遇到1例误诊长达7年,现报告分析如下: 女性,43岁,反复眼睑、面部浮肿伴气促7年,以心包积液查因于1991年4月13日收入院。患者病后觉明显乏力、便秘,间有下肢浮肿、纳差,尿量正常,长期在某医院就诊,先后按“特发性水肿”,“慢性肾炎”、“心包炎”治疗,症状时轻时重。幼时有肺结核病史,无急性肾炎及颈前不适史。体检T36.8℃,P78,体胖,表情淡漠,头
Mucus edema pericardial effusion due to insidious symptoms, heart signs are not typical, easily misdiagnosed. We encountered 1 case misdiagnosed for up to 7 years, the report is analyzed as follows: Female, 43 years old, repeated eyelids, facial edema with shortness of breath for 7 years to pericardial effusion investigation because April 13, 1991 income hospital. Patients with significant post-operative fatigue, constipation, between the lower extremity edema, anorexia, normal urine output, long-term in a hospital for treatment, has followed the “idiopathic edema,” “chronic nephritis,” “pericarditis” treatment, mild symptoms When heavy. Childhood history of tuberculosis, no history of acute nephritis and neck pain. Physical examination T36.8 ℃, P78, body fat, expression indifferent, head