论文部分内容阅读
患者男,20岁,因发热4周,憋气,心悸1周于1985年10月23日入院。诉4周前开始发热,体温波动在37～39℃之间,乏力,纳差。入院前1周出现胸闷、憋气、心悸,在本地县医院用青、链霉素,APC等药物治疗无效来我院。体检;体温37.7℃。血压110/70mmHg,皮肤粘膜无黄染及出血点,无皮疹,腹股沟两侧可及如蚕豆大小淋巴结3枚,无粘连及压痛。咽部(-)、颈静脉充盈,甲状腺不大,胸对称、心尖搏动不明显,心界叩诊向两侧扩大,听诊心音遥远,心率96次/分,律整,二肺清、腹平软,肝大肋缘
Male patient, 20 years old, 4 weeks due to fever, suffocation, palpitations 1 week in October 23, 1985 admission. 4 weeks ago complained of fever, body temperature fluctuations between 37 ~ 39 ℃, fatigue, anorexia. 1 week before admission, chest tightness, suffocation, palpitations, in the local county hospital with blue, streptomycin, APC and other drug treatment to our hospital. Physical examination; body temperature 37.7 ℃. Blood pressure 110 / 70mmHg, skin and mucous membrane without yellow dye and bleeding points, no rash, both sides of the groin can be as large as the size of the lymph node 3, no adhesion and tenderness. Pharynx (-), filling the jugular vein, thyroid is not, chest symmetry, apex beat is not obvious, heart percussion to both sides of the expansion, auscultation heart sounds far, heart rate 96 beats / min, Large liver margin