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1临床资料患者,男,64岁,因“咳嗽咳痰伴胸闷气喘1月余”于2013年2月13日入院。体检:体温36.6℃,心率78次/min,呼吸20次/min,血压125/82 mmHg(1 mmHg=0.133kPa),营养差,两侧呼吸动度及语音减弱,双下肺叩诊为浊音且呼吸音低,语音传导减弱;胸部CT示:双侧胸腔可见弧形液体样密度;血常规及肿瘤五项未见明显异常;血沉(ESR)52 mm·h-1;C反应蛋白(CRP)19.64 mg·L-1;痰涂片找结核杆菌3次均为阴性,胸腔积液为淡黄色,2次送检提示为渗
1 Clinical data Patients, male, 64 years old, because “cough and sputum with chest tightness and asthma more than 1 month ” was admitted on February 13, 2013. Physical examination: body temperature 36.6 ℃, heart rate 78 beats / min, breathing 20 beats / min, blood pressure 125/82 mmHg (1 mmHg = 0.133kPa), poor nutrition, bilateral breath movement and voice weakness, Low breath sounds and weakened speech conduction; chest CT showed that the density of visible liquid in the bilateral pleura was absent; no obvious abnormalities were observed in blood and tumor; the ESR was 52 mm · h-1; CRP, 19.64 mg · L-1; sputum smear to find Mycobacterium tuberculosis 3 times were negative, pleural effusion was light yellow, 2 times the test prompted the infiltration