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1病例简介患者,女,38岁,G2P1,因“停经33+6周,发现血压升高伴胸闷、气促、心慌、恶心20+天”于2013年3月收入院。患者为经产妇,既往体健,否认胸腹部外伤史。20余天前无明显诱因出现胸闷、气促、心慌伴食欲减退、恶心等不适,3天前就诊于我院妇产科门诊。入院查体:腹膨隆,肠鸣音减弱,胎位LOA,宫高34cm,腹围93cm,胎心率139次/min;左胸呼吸动度及语颤减弱,叩诊鼓音及浊音相杂,呼吸音明显减弱,可闻及肠鸣音,右肺呼吸音粗,未闻及干湿罗音。胸片示:左侧胸腔囊肿充气肠影,膈膨出?胸部CT示:脾脏、左肾、结肠脾区
1 Case Profile Patients, female, 38 years old, G2P1, due to “menopause 33 + 6 weeks, found that elevated blood pressure with chest tightness, shortness of breath, palpitation, nausea 20+ days” in March 2013 income hospital. The patient was maternal, past physical health, deny the history of chest and abdomen trauma. 20 days ago there was no obvious incentive chest tightness, shortness of breath, palpitation with loss of appetite, nausea and other discomfort, 3 days ago in our hospital obstetrics and gynecology clinic. Admission examination: abdominal bulging, bowel sounds weakened, the fetal position LOA, Palace height 34cm, abdominal circumference 93cm, fetal heart rate 139 beats / min; left chest respiratory motion and weakened tremor, percussion drums and dullness mixed, breathing Sound significantly weakened, can be heard and bowel sounds, right lung breath sounds crude, did not smell and wet and dry rales. Chest X-ray showed: left pleural cyst inflatable intestinal shadow, phrenic bulging? Chest CT showed: spleen, left kidney, colon spleen