患者男，57岁。多食易饥，反复夜间低血糖昏迷一年余，胸闷、气促半年，近几个月气促加重，双下肢水肿，夜间无法平卧，右侧半卧位才能休息。因低血糖昏迷人内分泌科。查体发现，脉搏92次l分，呼吸20次份，血压20／10kPa（150／75rllrrlriu）。气管明显左移，右侧肋间隙增宽，? Male patient, 57 years old. Eat more susceptibility to hunger, repeated night hypoglycemia coma more than a year, chest tightness, shortness of breath, in recent months, increased shortness of breath, edema of both lower extremities, can not lie at night, the right half of the supine position to rest. Faint glamorous endocrinology due to hypoglycemia. Physical examination revealed that the pulse rate was 92 points, respiratory rate was 20, and blood pressure was 20/10 kPa (150/75 rllrrlriu). The trachea is obviously leftward and the right intercostal space widens.