病理学病例(国外英文资料).docVIP

病理学病例Medical history: patient, female, 60 years old. Due to cough and sputum for 11 years, accompanied by qi, heart palpitation 3 years, lower limb edema 2 years, abdominal distension is admitted in March. 11 years ago, fever, cough, and phlegm. Later on the winter spring cough, cough white frothy sputum, sometimes for pus, repeatedly aggravate. For three years, after labor or climbing, the heart palpitations and breathing difficulties. Two years ago, we began to repeat the repeated lower limb pitting edema. The fever, cough, and phlegm in the cold before march were aggravated and swollen, unable to lie flat, and to be admitted to the emergency room.Physical examination: the temperature is 37.4 ℃, pulse is 98 times/min, 28 times/min breathing, blood pressure is 102/79 MMHG. Chronic ill, orthopnea, lethargy, lip and skin cyanosis, jugular vein engorgement, inhale sternum and supraclavicular fossa obvious sag, barrel chest, breathing reduced mobility, percussion is voiceless, double lung spread in dry and wet then. The heart rate is 98 beats per min, the cardiotonic circle shrinks. Abdominal swelling, a large number of abdominal water signs, the liver is 7.5 cm under the ribs, harder, double lower limb depression.Laboratory examination: blood routine: hemoglobin 98g/L, leukocyte 6.7 by 109 / L, the neutrophilic granulocytes 0.89, lymphocyte 0.11.After admission, the patient suddenly jerks, fidgeting, disquieting, increasing his heart rate to 156 / min and dying.Postmortem abstract: the fluid of the pleural effusion is 200m1, and the peritoneal effusion 2000ml is pale yellow and transparent, the weight is 1.012. Double lung each weighing 750 g, the volume increase, inflated, see section double lung scattered focal consolidation, are pale, part in grey and dark red and white, and with a double lung lower lobe. At the bottom of the mirror, the lung tissue was enlarged, the alveolar wall thinned, and the wall fractured. In the focal area of the lesion, there is a blood fi