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病例介绍例1 男,52岁,住院号14615。入院1个月前左小腿突然肿胀,伴隐疼,10余天后自行消肿,尔后右小腿肿胀,诊为血栓性静脉炎。静滴低分子右旋醣酐,500ml/日×7,明显消肿。旋后左小腿、左前臂手背又肿胀,乃于1978年4月入院。当时,体温37℃,血压130/90mmHg。腹平软,肝脾不大,未及腹块。双小腿肿粗,指凹性水肿(?),Homanns氏征(踝关节强力背屈时腓肠肌部压疼)阳性,左股三角区压疼,足背动脉搏动良好。左前臂手背水肿,上臂内侧可扪及条索状物长约4cm。血色素10.9g%,白细胞9,900/mm~3,尿常规(-),肝功能正常,硷性磷酸酶3.6单位(布氏法),血浆总蛋白6.98g%,白蛋白2.58g%,
Case description 1 male, 52 years old, hospital number 14615. Sudden swelling of the left calf 1 month before admission, with hidden pain, swelling more than 10 days after swelling his right leg, diagnosed as thrombophlebitis. Intravenous low molecular weight dextran, 500ml / day × 7, significantly swelling. Left after the rotation of the left leg, left forearm back and swelling, was admitted in April 1978. At that time, body temperature 37 ℃, blood pressure 130 / 90mmHg. Abdomen soft, small spleen and liver, not abdominal mass. Duodenal swelling, concave edema (?), Homanns sign (ankle dorsiflex gastrocnemius pressure tenderness) was positive, pressure in the left quadrant tenderness, dorsalis pedis artery pulsation well. Left forearm back hand edema, upper arm palpable and cord length of about 4cm. Hemoglobin 10.9g%, white blood cells 9,900 / mm ~ 3, urine routine (-), normal liver function, alkaline phosphatase 3.6 units (Brinell), total plasma protein 6.98g%, albumin 2.58g%