病历摘要男,49岁,工人,因发热20天,呼吸困难6天,于1979年11月8日入院。20天前开始无原因发热,体温在38～39℃之间.经用青、链霉素治疗后,体温降到38℃左右。近6天出现呼吸困难,闷气,头晕,咳嗽,声嘶,有时胸痛,夜间不能平卧入睡。纳差,上腹胀痛,■肢轻度浮肿,大小便无异常,曾用利尿剂3天无效。既往无特殊病史,其母有结核病史。体检:体温37.3℃,脉搏124次/分,呼吸42次/分,血压90/70mmHg。神清、发育营养较差,呼吸急促,面色苍白,口唇发绀,端坐呼吸,呈急重病容。两下肢皮下水肿。两侧颈淋巴 Medical summary Male, 49 years old, worker, admitted to hospital on November 8, 1979 due to fever for 20 days and dyspnea for 6 days. 20 days ago no reason to start fever, body temperature between 38 ~ 39. After treatment with cyanine, streptomycin, the body temperature dropped to about 38 ℃. Nearly 6 days of breathing difficulties, sulking, dizziness, coughing, hoarseness, and sometimes chest pain, night can not lie down. Anorexia, abdominal pain, ■ mild limb edema, urine was normal, had used diuretic 3 days invalid. Past no special medical history, the mother has a history of tuberculosis. Physical examination: body temperature 37.3 ℃, pulse 124 beats / min, breathing 42 beats / min, blood pressure 90 / 70mmHg. God clear, poor development of nutrition, shortness of breath, pale, lips cyanosis, sitting and breathing, was seriously ill. Lower extremity subcutaneous edema. Neck lymph on both sides