论文部分内容阅读
以腹水、全身浮肿为突出表现的肝淀粉样变性尚未见报道。笔者遇见一例,自出现症状至确诊经历了两年,现报道如下。病例:女性,24岁。于1988年9月发现晨起双上脸浮肿,继之颜面部及双下肢浮肿,并逐渐加重。1989年6月当地医院检查发现中等量腹水,经利尿剂治疗,浮肿及腹水基本消退。出院后月余再次出现全身浮肿及腹水,并在当地几家医院多次就诊,均未能确诊,仅予以对症治疗。1990年5月起浮肿、腹水加重,伴有腹胀、胸闷、尿量减少,于同年8月入院。查体:T36.4,P86,
With ascites, systemic edema as the outstanding manifestation of hepatic amyloidosis has not been reported. I met a case, since the onset of symptoms to diagnose for two years, are reported below. Case: Female, 24 years old. In September 1988 found early morning double edema, followed by facial and lower extremity edema, and gradually increased. In June 1989, the local hospital found a moderate amount of ascites, diuretic treatment, edema and ascites subsided. More than a month after discharge from the hospital again appeared systemic edema and ascites, and several hospitals in several local treatment, were not diagnosed, only symptomatic treatment. May 1990 edema, ascites increased, accompanied by abdominal distension, chest tightness, decreased urine output, admitted in August the same year. Physical examination: T36.4, P86,