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患者刘某,女性,51岁,农民。住院号6479。因咳嗽、咯痰、胸痛、气促7月余于1991年11月19日入院。患者于7个月前出现咳嗽,咯白色粘痰,无咯血,伴右胸剧痛,气促,经拍X线胸片示“右胸积液”,经当地医院抗痨治疗,多次胸穿抽液呈橙黄色积液,住院20多天,症状无改善,再次拍胸片“病灶有发展”,而拟“结核性胸腺炎”收入我院。患者发病以来胃纳差大小便正常,无畏寒、发热、盗汗等。既往体健,否认“肝炎”,“肺结核”病史。家庭成员无同样病者。体格检查:T 37.℃,P84次,R24次,BP15/8kPa。神清,慢性病容,消瘦,全身皮肤及双眼巩膜轻度黄染,未见出血点及蜘蛛痣。五官
Liu patient, female, 51 years old, farmer. Hospital number 6479. Due to cough, expectoration, chest pain, shortness of breath more than July in 1991 November 19 admission. Patients cough 7 months ago, slightly sticky phlegm, no hemoptysis, with right chest pain, shortness of breath, by X-ray showed “right thoracic fluid,” the local hospital anti-tuberculosis treatment, multiple chest Suction fluid was orange-yellow fluid, hospitalized more than 20 days, no improvement in symptoms, again take the chest film “lesions have development,” and the proposed “tuberculous thymitis” income in our hospital. Patients with gastric anorexia normal since the onset of disease, no chills, fever, night sweats and so on. Past physical health, denied the “hepatitis”, “tuberculosis” history. Family members are not the same patients. Physical examination: T 37. ℃, P84 times, R24 times, BP15 / 8kPa. God clear, chronic disease, weight loss, systemic skin and bilateral sclera slightly yellow dye, no bleeding spots and spider nevus. Facial features