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1病例资料患者,男,53岁,因“间断腹胀、咳嗽、气短,双下肢浮肿1年”入院。1年前无明显诱因出现左侧肢体活动受限,腹胀、气短、不能平卧,双下肢浮肿,于当地医院行头颅CT提示脑梗塞。血常规示嗜酸性粒细胞明显升高,达78%,胸片、腹部B超检查提示有胸水、腹水生成,白蛋白35g/L,无发热、寒战。给予强心、利尿、脱水、降白细胞等对症治疗后,临床症状无明显缓解,为求进一步诊治,遂来我院,以“嗜酸细胞增多”收住。体检:体温36℃,脉搏
1 case data patients, male, 53 years old, due to “intermittent bloating, cough, shortness of breath, swelling of both lower extremities 1 year ” admission. A year ago, there was no obvious incentive for left limb activity restriction, bloating, shortness of breath, can not lie down, both lower extremity edema, skull CT in the local hospital prompted cerebral infarction. Blood showed eosinophils increased significantly, up to 78%, chest X-ray, abdominal examination revealed pleural effusion, ascites generated albumin 35g / L, no fever, chills. Given cardiac, diuretic, dehydration, white blood cells and other symptomatic treatment, no significant clinical symptoms, in order to further diagnosis and treatment, then came to our hospital to “eosinophilia ” to stay. Physical examination: body temperature 36 ℃, pulse