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急性白血病,包括急淋与急非淋,并发少量心包积液并不罕见,但以心包积液为前期症状的急性淋巴细胞性白血病则非常少见.现报告1例如下. 范××,男,17岁.因咳嗽、左侧胸痛、低热20天,夜间不能平卧3天,于1984年6月23日入院.体温37.8℃,脉博112次,呼吸18次,血压110/70.自动体位,皮肤未见淤点,浅表淋巴结不肿大,颈静脉怒张,气管居中.胸骨无压痛,心界于第五肋间左锁骨中线外0.5Cm,未闻心包摩攘音.肺部检查正常,腹平坦,肝脏于肋缘下3cm.剑突下7cm,有压痛,肝颈反流阳性,脾于左肋缘下刚及.实验室检查:
Acute leukemia, including acute lymph node and acute lymphocytic, complicated by a small amount of pericardial effusion is not uncommon, but the pericardial effusion as a pre-symptom of acute lymphoblastic leukemia is very rare.Reported as follows 1. Fan × ×, male, 17 years old due to cough, left chest pain, low fever 20 days, night can not lie 3 days, admitted to hospital on June 23, 1984. Temperature 37.8 ℃, pulse Bo 112 times, breathing 18 times, blood pressure 110/70. , No bruising of the skin, superficial lymph nodes were not enlarged, jugular vein engorgement, tracheal center.Sternal no tenderness, heart in the fifth intercostal left subclavian midline 0.5Cm, no heart sound packageMongmingsheng.Lung examination Normal, flat abdomen, the liver in the ribs under the 3cm. Xiphoid 7cm, tenderness, positive liver neck reflux, spleen just under the left margin of the ribs. Laboratory tests: