病历摘要女患,58岁。有慢性咳嗽史,因两个月前开始咳嗽加重,咯白色痰,心慌、气喘、不能平卧,两下肢浮肿,并逐渐向上发展至腹部。经检查,诊断为慢性支气管炎、肺气肿、慢性肺原性心脏病、心力衰竭、双侧胸腔积液(漏出液、心源性)入院。经抗感染、强心、利尿、吸氧等治疗,一般症状好转,但胸腔积液征基本同前,乃行胸 Female patient history, 58 years old. A history of chronic cough, due to two months ago began to cough, slightly white sputum, palpitation, asthma, can not lie down, both lower extremity edema, and gradually developed upward to the abdomen. After examination, the diagnosis of chronic bronchitis, emphysema, chronic pulmonary heart disease, heart failure, bilateral pleural effusion (leakage of fluid, cardiogenic) admission. Anti-infective, cardiac, diuretic, oxygen and other treatment, the general symptoms improved, but basically the same as before pleural effusion, chest line