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患者男,31岁,住院号124272。于11天前受凉后全身酸痛、畏寒、发热、干咳、乏力、纳差、恶心,经青,链霉素治疗无效。6天前出现左下胸痛,胸部照片示左侧胸腔大量积液而于1982年2月11日入院。过去无结核、肝炎史。体检:体温39℃,脉搏100次/分,血压100/70毫米汞柱。颈部有3个蜘蛛痣。气管偏右,左胸第5肋及肩胛以下叩浊,呼吸音消失,心(-)。肝肋下1.5厘米,轻压痛,脾肋下1厘米,腹水征(-),化验:白细胞10000,中性69％,淋巴14％,大单核17％。血沉41毫米/小时,肝功能:麝浊6单位,麝絮++。胸水呈黄色混浊,有凝块,蛋白
Patient male, 31 years old, hospital ad 124272. After 11 days of cold, body aches, chills, fever, dry cough, fatigue, anorexia, nausea, chlorosis, streptomycin treatment ineffective. Left lower chest pain 6 days ago, the chest photo shows a large pleural effusion on the left and in February 11, 1982 admission. In the past no tuberculosis, history of hepatitis. Physical examination: body temperature 39 ℃, pulse 100 beats / min, blood pressure 100/70 mm Hg. There are 3 spider nevus on the neck. Right trachea, left thoracic and scapular fifth rib and turbid below, breath sounds disappear, heart (-). 1.5 cm under the liver ribs, tender tenderness, 1 cm under the splenic ribs, signs of ascites (-), test: white blood cells 10000, 69% neutral, lymph, 14%, 17% of the large single nucleus. Erythrocyte sedimentation rate 41 mm / h, liver function: musk turbidity 6 units, Musk Xu ++. Pleural effusion was yellow, clot, protein