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患者,男性,52岁,于10余日前出现咳嗽、咳黄痰,伴乏力、食欲减退,就诊于当地社区医院给予“抗病毒、抗炎”治疗,未见好转。入院2 d前胸痛加重,伴发热,体温在37.5℃左右,于2013年12月26日就诊于呼伦贝尔市结核病院拍肺片诊断“胸膜炎”。查体:体温38℃,脉搏94次/min,呼吸21次/min,血压150/80 mmHg,右肺5肋以下语颤消失,呼吸音消失。辅助检查:胸片:右肺5肋以下见上界呈倒
The patient, male, aged 52, had cough, cough and phlegm with fatigue and loss of appetite more than 10 days before attending a local community hospital giving “anti-virus and anti-inflammatory” treatment without any improvement. 2 days before admission increased chest pain, with fever, body temperature at 37.5 ℃ or so, on December 26, 2013 treatment in Hulun Buir City, tuberculosis lung cancer diagnosis of “pleurisy.” Physical examination: body temperature 38 ℃, pulse 94 beats / min, breathing 21 times / min, blood pressure 150/80 mmHg, the right lung below the 5 ribs disappeared, the breath sounds disappear. Auxiliary examination: chest X-ray: 5 ribs below the right lung was seen upside down