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病例:男,27岁,维族。因间断性咳嗽、气急、胸闷10年,双下肢浮肿4月,发热症状加重1周,于1989年2月21日以急性粟粒性肺结核合并肺部感染入院。1978年、1984年曾有类似症状按结核分别治疗1年和40天症状减轻。自1988年气急加重,有发绀及下肢浮肿。入院检查:T38.2,P120,R32,BP14.6/9.3kPa。消瘦,体重48千克。精神差,神志清。皮肤粘膜无黄染,无出血点。
Case: Male, 27 years old, Uygur. Due to intermittent cough, shortness of breath, chest tightness 10 years, both lower extremities edema in April, fever increased 1 week symptoms, on February 21, 1989 with acute miliary tuberculosis with pulmonary infection admitted. In 1978, there were similar symptoms in 1984 and tuberculosis treatment for 1 year and 40 days to alleviate the symptoms. Since 1988, aggravating, cyanosis and lower extremity edema. Admission examination: T38.2, P120, R32, BP14.6 / 9.3kPa. Weight loss, weight 48 kg. Poor spirit, clear consciousness. Skin and mucous membrane without yellow dye, no bleeding point.