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患者,女,23岁.主因胸闷、气短、心悸、浮肿2月余入院.2月前活动后出现胸闷、气短、心悸,渐加重,伴颜面及下肢浮肿.发病45天后,极度疲劳,呼吸困难,不能平卧.曾查血沉明显增快,尿及肝功正常.服用金钱草1周后,浮肿一度消退.但1周后浮肿再现而入院.无咽痛、关节痛、腰痛及尿病,否认结核病史.查 T 37.8 C,P 120次/分,BP13/10kPa,慢性病容,消瘦,半卧位.皮肤粘膜未见红斑、皮疹、溃疡及出血点.浅表淋巴结不肿大.头发稀疏,双眼睑浮肿.右胸部饱满,右第三肋间以下语颤音消失,叩
The patient, female, aged 23. The main cause of chest tightness, shortness of breath, palpitations, edema, more than 2 months admitted to hospital .2 months ago after the event of chest tightness, shortness of breath, palpitations, gradually heavier, with facial and lower extremity edema .Every 45 days after onset, extreme fatigue, Was not supine.Check ESR was significantly faster, normal urine and liver function.After taking the money grass for 1 week, edema once subsided.But 1 week after the edema and hospitalization without sore throat, joint pain, back pain and diabetes, Denied the history of tuberculosis. Check T 37.8 C, P 120 beats / min, BP13 / 10kPa, chronic disease, weight loss, semi-recumbent skin erythema mucosa no erythema, rashes, ulcers and bleeding points. , Double eyelid edema. Right chest full, right third intercostal Vibrato disappeared, knocking