以胸腔积液为首发症状的急淋误诊一例

• 作 者: 徐春丽
• 机 构: 山东省潍坊解放军第89医院 261000
• 出 处: 实用医技
• 发表日期: 2000年09期
• 关键词: 阵发性干咳 急淋 急性病容 呼吸音消失 外按 心尖搏动 胸腔积液 过清音 胸闷 病毒唑

1.病例介绍 患者,女11岁。因咳嗽,渐进性胸闷20余天入院。患者入院前20余天无明显诱因出现阵发性干咳,无发热,伴有夜间盗汗,腰背部刺痛。院外按“上呼吸道感染”予“青霉索、病毒唑”治疗10天,咳嗽减轻,渐出现胸闷,憋气,并进行性加重。入院查体:急性病容、憋喘貌、双侧锁骨上、腋窝可触及数枚肿大质软淋巴结、气管右移、左侧胸廓饱满。叩实音,呼吸音消失,右肺叩过清音,呼吸音增强,心尖搏动位于剑突下偏右,肝脾未

1. Case description Patients, female 11 years old. Due to cough, progressive chest tightness more than 20 days admitted. Patients admitted to hospital more than 20 days no obvious incentive to paroxysmal dry cough, no fever, night sweats, back and back tingling. Outside the hospital press “upper respiratory tract infection” to “penicillin, ribavirin” for 10 days, reduce cough, gradually appear chest tightness, suffocation, and progressive increase. Admission examination: acute disease, suffocation, bilateral supraclavicular, axillary palpable mass swelling of soft lymph nodes, right tracheal shift, the left thorax full. Ta knock sound, breath sounds disappear, the right lungs knock clear voice, increased respiratory sounds, apex beat in the xiphoid right, liver and spleen not