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单纯性的原发性粘液性水肿较为常见。但并发浆膜腔积液病例较为罕见,容易误诊延误治疗。近期我们收治了2例,现报告如下:例1,男,61岁。因厌食、乏力、面黄、浮肿、嗜睡一年于1989年9月8日入院。一年前无明显诱因出现面黄、全身浮肿、时重时轻,食欲明显降低、懒动、寡言、嗜睡、大便干燥。8个月前在本院诊为“心肌炎”、“心包积液”,给予对症治疗。全身浮肿逐日加重,但从无心悸、呼吸困难。既往无明显疾病史。查体:T36℃、P56次/分、R16次/分、Bp12/8kpa。老年男性,精神萎糜,表情呆板;皮肤弹性差,无光泽,粗燥。毛发褐黄、稀疏。面色苍
Simple primary myxedema is more common. However, concurrent serous effusion cases are relatively rare, easy misdiagnosis of delayed treatment. We recently admitted 2 cases, are as follows: Example 1, male, 61 years old. Due to anorexia, fatigue, face yellow, edema, lethargy one year in September 8, 1989 admission. A year ago there was no obvious incentive yellow face, body edema, when light weight, appetite decreased significantly, lazy, reticent, lethargy, dry stool. 8 months ago in our hospital diagnosed as “myocarditis”, “pericardial effusion” to give symptomatic treatment. Edema increased day by day, but no heart palpitations, breathing difficulties. No previous history of obvious disease. Physical examination: T36 ℃, P56 times / min, R16 times / min, Bp12 / 8kpa. Elderly men, wilting spirit, dull look; poor skin elasticity, dull, rough. Brown hair yellow, sparse. Cang color