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患者,男性,62岁。1998年3月24日入院,入院前1个月无明显原因出现畏寒、发热、上腹部胀满、隐痛不适,体温最高达39℃,无呕吐、腹泻。经应用“青霉素”治疗半月后体温有所下降,在37.5℃左右波动,且出现干咳及右下胸部胀痛不适。入院前3日出现心悸、憋喘、不能平卧,取端坐位憋喘略有减轻。否认结核病、痢疾病史。体格检查:T38℃、P110次/分、R26次/分、BP90/60mmHg(1mmHg=0.133kPa)。意识清,端坐位,口唇发绀,气管居中,颈静脉怒张。右胸下部膨隆、叩诊呈实音、呼吸音明显减低及消失,两肺其他部位呼吸音正常,未闻及胸膜摩
Patient, male, 62 years old. March 24, 1998 admitted to hospital, 1 month before admission, no obvious cause of chills, fever, upper abdominal fullness, pain and discomfort, body temperature up to 39 ℃, no vomiting, diarrhea. After the application of “penicillin” half a month after treatment body temperature decreased at about 37.5 ℃ fluctuations, and the emergence of dry cough and lower right chest pain and discomfort. 3 days before admission, heart palpitations, wheezing, can not be supine, take the end sitting slightly suppressed puffer. Denied the history of tuberculosis and diarrhea. Physical examination: T38 ℃, P110 beats / min, R26 beats / min, BP90 / 60mmHg (1mmHg = 0.133kPa). Consciousness, sitting, lips cyanosis, tracheal center, jugular vein engorgement. Lower right breast bulging, percussion showed a solid tone, breath sounds significantly reduced and disappeared, other parts of the lungs breathing sound normal, no information on pleural friction