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病例摘要患者女,49岁,住院号472548。因反复咳嗽、右胸胀痛、气促1~+年于1989年3月20日再次入院。入院前10月因低热、盗汗、乏力等,透视发现右侧胸腔积液,查胸水淋巴细胞高,诊断为结核性胸膜炎。经链霉素、异烟肼、强的松等治疗1月,症状减轻,胸水消退。但停用强的松后胸水又渐增多,遂于1988年8月转入我院。脚片示右肺中部软组织包块影及右侧纵隔淋巴结肿大、右侧大量胸腔积液。B超在右胸肩胛下线第7—9肋间
Case Summary Female patient, 49 years old, hospital number 472548. Due to repeated cough, right chest pain, shortness of breath 1 ~ + years in March 20, 1989 again hospital. 10 months before admission because of fever, night sweats, fatigue, etc., fluoroscopy found right pleural effusion, check the pleural effusion lymphocytes, diagnosed as tuberculous pleurisy. By streptomycin, isoniazid, prednisone and other treatment in January, reduce the symptoms, pleural effusion subsided. However, the withdrawal of prednisone pleural effusion has gradually increased, then transferred to our hospital in August 1988. Foot shows the right middle of the soft tissue mass in the middle of the lung and mediastinal lymph nodes on the right, a large number of pleural effusion on the right. B-subconscious in the right chest subscale line 7-9 intercostal space