对肺结节病合并大量胸腔积液误诊1例分析如下。1病历摘要女,58岁。主诉胸闷、气短,不能右侧卧1个月。伴咳嗽,无痰,无盗汗,食欲可。查体:神清,消瘦,左锁骨上胸锁乳突肌内缘可触及淋巴结约花生米大小,位置深,质硬,活动度稍差,余淋巴结无肿大,右下肺呼吸音低,双下肢轻度水肿,余(-) Pulmonary sarcoidosis with a large number of misdiagnosed as one case of pleural effusion as follows. 1 medical record summary female, 58 years old. Chief complaint chest tightness, shortness of breath, not lying on the right 1 month. With cough, no sputum, no night sweats, appetite can be. Physical examination: Shen Qing, weight loss, left clavicle on the edge of the sternocleidomastoid muscle can reach about the size of the peanut lymph nodes, the location of deep, hard, slightly less activity, lymphadenopathy no swelling, lower right lung breath sounds low, Lower extremity mild edema, Yu (-)