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1病例资料患者,男,45岁,以咳嗽、活动后胸闷、气促10余天为主诉入院。2型糖尿病3年,空腹血糖7~8mmol/L,未监测餐后血糖。患者10余天前着凉后出现咳嗽,咳白痰,无发热,后逐渐出现胸闷、气促,咳嗽及活动后加重,无胸痛,无心悸、双下肢水肿,于我院门诊就诊。肺CT示:双肺炎,双侧胸腔积液,心包少量积液。以“1、右上肺炎并反应性胸膜炎2、2型糖尿病”为诊断入住呼吸内科。化验检查:超敏肌钙蛋白I(hs-TnI)1.833μg/L,肌酸激酶同工酶(CK-MB)0.90μg/L,心脏彩超
1 case data patients, male, 45 years old, with cough, chest tightness after activities, shortness of breath more than 10 days based on admission. Type 2 diabetes 3 years, fasting blood glucose 7 ~ 8mmol / L, not monitoring postprandial blood glucose. Patients with cough after more than 10 days before cold, cough white sputum, no fever, followed by chest tightness, shortness of breath, cough and aggravating activities, no chest pain, no palpitations, lower extremity edema, in our hospital clinic. Lung CT showed: double pneumonia, bilateral pleural effusion, pericardial effusion. To “1, upper right pneumonia and reactive pleurisy type 2,2 diabetes ” for the diagnosis of respiratory medicine. Laboratory tests: hs-TnI 1.833μg / L, creatine kinase isozyme (CK-MB) 0.90μg / L, color Doppler echocardiography