病例 1　男 ,75岁 ,因“咳嗽、痰中带血6月余 ,胸闷气促 2月”收入院。 6月前院外摄Ｘ线胸片发现右肺类圆形肿块 ,抗炎治疗 1月后好转出院。 2月前因明显胸闷气促 ,行抗炎治疗效果不佳 ,胸部Ｘ线片示右肺肿块明显增大。入院时患者气促 ,颜面青紫 ,颈静脉怒张 ,右肺叩实 ,呼吸音 Case 1 Male, 75 years old, due to “cough, sputum bloody more than 6 months, chest tightness, shortness of breath, 2 months” income hospital. Before the out-of-hospital photo X-ray chest films were found 6 months ago, round-shaped tumors of the right lung were found. The anti-inflammatory treatment was improved and discharged after 1 month. 2 months ago due to obvious chest tightness, shortness of breath, anti-inflammatory treatment is not effective, chest X-ray showed a significant increase in the right lung mass. At the time of admission, the patient was short of breath, face bruising, jugular vein engorgement, right lung tamponade, breath sounds