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患者,女,65岁,因劳累后心慌气促8年,加重2月入院。既往有产后大出血史。查体:中度贫血貌,平卧位,颜面凹陷性浮肿,双下肢无水肿,颈静脉稍怒张,心律齐,心率60次/分,各瓣膜区无病理杂音。UCG:大量心包积液,室间隔、左室壁肥厚。胸片:心影向两侧扩大。ECG:窦缓。肘静脉压1.47/kpa。心包积液化验:蛋白57g/L,细胞数1040×10~6/L。诊断为结核性心包炎,肥厚性心肌病。抗痨3月无效。查
Patients, female, 65 years old, due to fatigue after flustered eight years, increased in February admission. Past history of postpartum hemorrhage. Physical examination: moderate anemia appearance, supine position, facial pitting edema, no lower extremity edema, jaundice, jaundice, heart rate 60 beats / min, the valve area no pathological noise. UCG: massive pericardial effusion, ventricular septal, left ventricular wall hypertrophy. Chest radiograph: heart shadow to expand on both sides. ECG: sinus slowly. Elbow vein pressure 1.47 / kpa. Pericardial effusion assay: protein 57g / L, the number of cells 1040 × 10 ~ 6 / L. Diagnosis of tuberculous pericarditis, hypertrophic cardiomyopathy. Anti-tuberculosis invalid in March. check