Chylothorax as the first symptom in children 1 case of mediastinal lymphoma.docVIP

 PAGE \* MERGEFORMAT 5 Chylothorax as the first symptom in children 1 case of mediastinal lymphoma [Keywords:] Chylothorax; lymphoma A medical record Male children, age 7, for “20 days of wheezing, facial edema, eyelid 7 days” on January 24, 2009 admission. Children about 3 weeks before admission, had no incentive to asthmatic symptoms, respiratory rate faster 30 to 40 times / min, particularly when the activity did not line treatment. past 7 days in children with eyelid, facial edema symptoms, occasional cough, hoarseness, wheezing symptoms over the previous increase. for the sake of treatment admission. course of the disease in children with no fever, no chest pain and rash, no drug allergy history, no family history of infectious and genetic diseases. admission examination: T 37 ℃, BP100/60 mm Hg, body rosy skin and mucous membrane, no rash and bleeding points, eyelid and facial edema, body swelling of superficial lymph nodes are not touched. rosy lips, pharynx little congestion, the amygdala is not. neck soft, middle trachea, no jugular vein distention, thoracic no deformity, symmetrical, bilateral respiratory motion are equal, the right fremitus weakened, percussion dullness right lower lung, lung field than voiceless. right lung breath sounds weaker, and abnormal breath sounds are not heard. precordial no abnormal bulge on the left apex beat No. 5 intercostal clavicle medial midline about 0.3 cm, no tremor, and pericardial friction rubs. auscultation, heart rate 95 times / min, a strong, regular law, the valve auscultation area is not known and pathological murmurs, friction sensitivity unintentional package. abdomen flat, located in the liver ribs 6 cm, xiphoid under 3 cm, the quality is slightly tough, enlargement of the spleen no time, no shifting dullness percussion, auscultation of bowel sounds normal. no pitting edema of both lower extremities, I was no exception. laboratory routine, urine, stool was normal. erythrocyte sedimentation rate: