肘中心静脉压测定诊断缩窄性心包炎1例报告
Journal of Jilin University(Medicine Edition)(2012)
Abstract
<正>1临床资料患者,男性,51岁。于5年前劳累时出现胸闷,伴心悸、气促,同时有右上腹胀痛,无发热,无咳嗽及咯痰,曾就诊于多家医院,均未明确诊断。近2周逐渐出现夜间憋醒、呼吸困难,来本院就诊。查体:平卧下无呼吸困难,眼睑无水肿,颈静脉怒张,双肺呼吸音清,心界不大,心率80min-1,节律齐,心音正常,无心包摩擦音。肝右肋弓下4cm,质软,肝颈静脉回流征阳性,腹部移动性浊音阴性。辅助检查:血脂、血糖、甲状腺功能正常,D-聚体阴性;X线胸片示左室增大,
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