论文部分内容阅读
患者女性,57岁.因反复发热,胸闷及两下肢浮肿3月,于1990年10月9日收住本院.T38~39℃之间,两下肢踝部浮肿,活动后胸闷气急.曾在当地医院住院2月,经多种抗生素治疗无效.以往有关节疼痛、雷诺氏现象伴腹胀2年,20年前有颈淋巴结结核溃破病史.体检:T38℃,贫血貌,消瘦,巩膜无黄染,全身未及肿大淋巴结.双手皮肤增厚,色素沉着,两肺少量干性罗音,心浊音界向两侧扩大,心音低,心率90次/分,律齐,心尖区Ⅱ
Female patient, aged 57. Due to repeated fever, chest tightness and two lower extremities edema in March, admitted to our hospital on October 9, 1990. Between T38 ~ 39 ℃, both lower extremity ankle swelling, chest tightness after shortness of breath. The local hospital was hospitalized in February, after a variety of antibiotic treatment ineffective past joint pain, Raynaud’s phenomenon with abdominal distension 2 years, 20 years ago with cervical lymph node tuberculosis ulceration history: physical examination: T38 ℃, anemia, weight loss, scleral no yellow Dye, the body not swollen lymph nodes. Hands thickening of the skin, pigmentation, two lungs a small amount of dry rales, heart dullness to both sides of the expansion, low heart rate, heart rate 90 beats / min, law Qi, apex II