论文部分内容阅读
病历摘要 住院号:86516女性,30岁,社员(家庭妇女),已婚,久居吉林省乾安县。因心悸、气短、浮肿六个月,近一个月加重而于1972年10月9日入院。两年前始有咳嗽、咯痰、盗汗、下午低烧,在当地医院透视诊断“肺结核”。未曾用药治疗。六个月前,第四次妊娠后期,咳嗽加重并伴有心悸、气短、呼吸困难,分娩后症状尤存,且有心前区疼痛,下肢浮肿,不能平卧,遂至某医院就诊,诊断“结核性心包炎”。住院抗结核治疗三个月,病情不见好转出院,至另一医院仍诊断“结核性心包炎。继续抗结核治疗两个月,亦不奏效,且腹部胀大,全身出现高度浮肿,病情渐重而转入我院。既往无风湿热、高血压及肾炎病史。家族史无特殊可记述。
Medical record Summary Hospital number: 86516 Female, 30 years old, member (housewife), married, long lived in Qian’an County, Jilin Province. Due to heart palpitations, shortness of breath, edema six months, increased nearly a month in October 9, 1972 admission. Two years ago had cough, expectoration, night sweats, afternoon low fever, the local hospital diagnosis of “tuberculosis.” Not medication treatment. Six months ago, the fourth trimester of pregnancy, increased cough and accompanied by palpitations, shortness of breath, difficulty breathing, postpartum symptoms in particular, and there is precordial pain, lower extremity edema, can not supine, then to a hospital for diagnosis of “ Tuberculous pericarditis. ” Hospitalized anti-TB treatment for three months, the condition did not improve out of hospital, to another hospital is still diagnosed "tuberculous pericarditis. Continue anti-TB treatment for two months, does not work, and the abdomen swollen, the body showed a high degree of edema, exacerbations And transferred to our hospital in the past no history of rheumatic fever, hypertension and nephritis history no special family can be described.