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患者男,57岁。1989年12月3日入院。患者于1987年初因全身不适,在当地医院发现右胸腔阴影,曾先后于右胸腔抽出血性液体约1500ml,经抗结核治疗无效。1988年11月起感易饥、多食、出汗、抽搐、昏迷,进食后可缓解。后发作逐渐频繁,由每月发作1次至每日1次,发作时血糖低于2.78mmol/L。体检:营养中等。气管偏左,右胸廓膨隆,右胸第二肋以下语颤减弱,叩诊浊音,呼吸音减弱。肝肋下6cm,
Male patient, 57 years old. He was admitted to hospital on December 3, 1989. In early 1987, due to general malaise, the patient had a shadow in the right thoracic cavity in the local hospital. He had had a hemorrhagic fluid in the right thoracic cavity of about 1500 ml and was not treated with anti-tuberculosis therapy. In November 1988, she felt hunger, food, sweating, convulsions, and coma, and she was relieved after eating. The episodes gradually increased from 1 episode to 1 episode per month, and the episodes had blood glucose below 2.78 mmol/L. Physical examination: moderate nutrition. The left side of the trachea was bulging and the right thorax was bulging. The lingual trembling of the right rib below the second rib was weakened, and the voice was dulled and the breath sounds were weakened. The liver is 6cm under the ribs,