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患者,女,20岁,咳嗽,咯血痰10月,胸闷气促2月。曾有外院拍胸片示右上肺病变伴胸腔积液。经抗炎、抗结核治疗无好转。4次抽黄色胸腔积液共3900ml,行纤支镜,CT检查示慢性炎症、肺结核,二尖瓣钙化。体检:一般情况差,不能平卧,唇绀,左锁骨上可触及绿豆大小淋巴结数枚。心率110次/分,偶呈三联律,心前区可闻及收缩期及舒服张期Ⅱ～Ⅲ级音。腹软,肝脾肋下未触及。胸片示胸腔积液,心影大小均呈
Patients, female, 20 years old, cough, sputum, blood stasis, 10 months, chest tightness, shortness of breath, 2 months. There have been chest films taken outside the hospital showing right upper lung lesions with pleural effusion. No improvement in anti-inflammatory and anti-tuberculosis treatments. A total of 3900ml of yellow pleural effusion was collected on 4 occasions. Fibrobronchoscopy was performed. CT examination showed chronic inflammation, pulmonary tuberculosis, and calcification of mitral valve. Physical examination: The general condition is poor, can not lie flat, lip pimple, the left clavicle can touch the number of mung bean size lymph nodes. The heart rate is 110 beats/min. It is also a triple law. The precordial area can be heard of systolic and comfortable period II-III sounds. Soft abdomen, liver and spleen did not touch the ribs. Chest pleural effusion showed, the size of heart shadow was presented