1 临床资料 患者,男性,31岁,图-154驾驶员,飞行时间4900h,于1991年12月12日因突发胸闷、气短10天,加重伴心慌3天住院。检查:一般情况可,急性痛苦病容,口唇苍白,胸廓不对称,左侧饱满,呼吸动度差,语颤消失,左上肺叩鼓音,左前下第5前肋以下实音,右肺叩诊过清音,左肺呼吸音消失,右肺呼吸音粗,心界消失。实验室检查:血常规Hb 125g/L,红细胞4.4×10~(12)/L,白细胞10.0×10~9/L,中性0.5,淋巴0.24, 1 clinical data Patients, male, 31 years old, Figure -154 pilot, flight time 4900h, on December 12, 1991 due to sudden chest tightness, shortness of breath for 10 days, increased with palpitation 3 days hospitalization. Check: The general situation may be acute pain, pale lips, chest asymmetry, left full, poor respiratory motion, tremor disappeared, upper left lung percussion drums, the first 5 before the left anterior inferior real tone, the right lung percussion Voiceless, left lung breath disappeared, right lung breath sounds coarse, disappeared. Laboratory tests: blood Hb 125g / L, erythrocyte 4.4 × 10-12 / L, white blood cells 10.0 × 10-9 / L, neutral 0.5, lymph 0.24,