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患者女,68岁。反复腹胀半年,加重伴胸闷气急1个月就诊。体检:既往高血压病史二十余年,血压控制不详,无烟酒嗜好;入院体检:血压150/90 mmHg(1 mmHg=0.133 kPa),心率95次/分,未及病理性杂音、心包摩擦音、额外心音。颈静脉无怒张,肝颈静脉回流征阴性,腹部移动性浊音阴性,双下肢无水肿。全身浅表淋巴结不肿大。入院后实验室检查:血常规:血小板计数79×109/l;NT-proBNP:562 pg/ml;肝功能:血清乳酸脱氢酶(LDH)413 U/l,胆碱酯酶3225 U/l;肾功能:尿酸396μmol/l;肿瘤筛查、肿瘤相关抗原:CA125 10.17 U/ml,CA153 7.31
Female patient, 68 years old. Repeated abdominal distension for six months, with aggravating chest tightness and urgency 1 month treatment. Physical examination: history of previous hypertension more than 20 years, blood pressure control is unknown, non-smoking alcohol; medical examination: blood pressure 150/90 mmHg (1 mmHg = 0.133 kPa), heart rate 95 beats / min, no pathological murmur, , Extra heart sounds. No jugular vein engorgement, hepatic jugular vein reflux sign negative, abdominal mobility dullness negative, no lower extremity edema. Systemic superficial lymph nodes are not enlarged. Laboratory examination after admission: Blood: platelet count 79 × 109 / l; NT-proBNP: 562 pg / ml; Liver function: serum lactate dehydrogenase (LDH) 413 U / l, cholinesterase 3225 U / l ; Renal function: Uric acid 396 μmol / l; Tumor screening, Tumor associated antigens: CA125 10.17 U / ml, CA153 7.31