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近年我院收治胆固醇性胸腔积液3例,其中并左下肢深静脉血栓1例,临床少见,报告如下。患者男,41岁。因咳嗽、胸痛4月余,呼吸困难7天,于1992年4月10日入院。既往16岁时患过“结核性胸膜炎”。体检:T36.8℃,P 88次/分,R 20次/分,BP 13.33/10.66KPa。营养中等,慢性病容。浅表淋巴结无肿大,气管居中。右侧胸廓呼吸运动受限, 右肺中、下野语颤减低,叩浊音,呼吸音消失。心脏正常。肝、脾未触及。脊柱四肢无畸形。化验:血常规WBC9.4×10~9/L,N 0.76,L 0.23,Hb 143g/L,PC144×10~9/L,ESR2mm/h,mp(-)。尿便检查正常,尿糖(-)。痰查抗酸杆菌和肺吸虫卵(-)。血狼疮细胞(一)。肝肾功能正常。HBsAg(-)。血糖5.7mmol/L。血脂:胆固醇5.39mmol/L,甘油三脂0.68g/L。胸
In recent years, our hospital admitted to cholesterol-induced pleural effusion in 3 cases, of which 1 case of left lower extremity deep vein thrombosis, clinical rare, the report is as follows. Patient male, 41 years old. Due to cough, chest pain for more than 4 months, breathing difficulties for 7 days, on April 10, 1992 admission. Past 16 years old had “tuberculous pleurisy.” Physical examination: T36.8 ℃, P 88 beats / min, R 20 beats / min, BP 13.33 / 10.66KPa. Medium nutrition, chronic disease. Superficial lymph nodes without swelling, tracheal center. Respiratory movement of the right thorax restricted, the right lung, down tremor reduced fibrillation, knocking voiced, breath sounds disappear. The heart is normal. Liver, spleen not touched. Spine limbs without deformity. Assay: WBC9.4 × 10 ~ 9 / L, N 0.76, L 0.23, Hb 143g / L, PC144 × 10-9 / L, ESR2mm / h, mp Urinalysis was normal, urine sugar (-). Sputum check acid-fast bacilli and paragonimiasis eggs (-). Blood lupus cells (a). Liver and kidney function is normal. HBsAg (-). Blood sugar 5.7mmol / L. Blood lipids: cholesterol 5.39mmol / L, triglyceride 0.68g / L. chest