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缩窄性心包炎乳糜腹水,临床上甚少见。现将我院收治的1例报告如下。患儿周某某、女,8岁,因腹胀2年,全身浮肿1年,于1984,8,27入院。2年前开始面部浮肿、腹胀、尿少,住当地医院诊治,诊断为“心脏病”。先后行腹腔穿刺4次,均抽出淡黄色液体。1年前开始全身浮肿,以下肢为重,注射“速尿”及“汞撤利”后,浮肿消退,腹胀减轻。1周后症状又同前,反复注射上述药物后均未见效。半年前浮肿、气短、腹胀加重。体检:体温36.8℃,呼吸36次/分,脉搏110次/分,血压80/50。发育较差,颈静脉怒张,两肺呼吸音清晰,心音低
Constrictive pericarditis chylous ascites, clinically rare. Now in our hospital one case reported as follows. Zhou Moumou children, female, 8 years old, bloating for 2 years, systemic edema 1 year, admitted to hospital in 1984,8,27. 2 years ago began facial edema, abdominal distension, oliguria, live in a local hospital diagnosis and treatment, diagnosis of “heart disease.” Abdominal puncture line 4 times, were drawn light yellow liquid. A year ago, my whole body edema started to develop. My lower extremity was heavy. After the injection of “furosemide” and “Meridian”, the edema subsided and the abdominal distension was relieved. 1 week after the same symptoms, repeated injection of the above drugs were not effective. Edema six months ago, shortness of breath, increased abdominal distension. Physical examination: body temperature 36.8 ℃, breathing 36 beats / min, pulse 110 beats / min, blood pressure 80/50. Poor development, jugular vein engorgement, clear breath sounds of both lungs, low heart sound