论文部分内容阅读
病历摘要患者,男,21岁,农民,因反复发热、心慌、浮肿近3年,加重3个月,于1987年1月11日入院。患者3年前无诱因出现不规则发热,体温波动在38.5～40.3℃之间,伴颜面浮肿,活动后心慌胸闷。无胸痛及咳嗽,无关节肿痛等。1986年4月因心包积液经内科抗感染、抗痨治疗效果不佳,行心包部分切除术,术后间隔用强的松方可控制体温。3个月前又出现发热,体温达40℃,心慌浮肿加重。并出现右眼视物不清,收住入院。已往健康,无传染病史,无特殊嗜好。无传染病、遗传病家族史。
Patient summary, male, 21 years old, farmer, because of repeated fever, palpitation, edema nearly 3 years, increased 3 months, January 1, 1987 admission. Patient 3 years ago, there was no incentive for irregular fever, body temperature fluctuations between 38.5 ~ 40.3 ℃, with facial edema, palpitation after chest tightness. No chest pain and cough, no joint swelling and pain. In April 1986 due to pericardial effusion by the medical anti-infection, anti-tuberculosis treatment ineffective, pericardial partial resection, postoperative interval with prednisone can control body temperature. 3 months ago appeared fever, body temperature reached 40 ℃, palpitation edema aggravated. And appear blurred vision of the right eye, admitted to hospital. Past health, no history of infectious disease, no special hobby. No infectious disease, family history of genetic disease.