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患者,男,26岁,于1963年9月16日入內科。患者于半年前超咳嗽、头痛,每日傍晚微寒,继而发熱,吐白色泡沫状痰,量少。病后半月发生左侧胸痛。病后两月发生气促,心慌,并吐泡沫痰每日約150毫升,当地X线透視胸部发現左胸积液。胸腔穿刺每日抽出黄色透明液体約800毫升。进行抗痨治疗。因当地长期治疗无效,以左侧液气胸入本院內科。既往居住于血吸虫病流行区,本人有下水史。体格检查:发育中等,营养欠佳,呈慢性病容。头、頸、腹无异常。輕度杵状指。左胸呈慢性脓气胸体征。
The patient, male, 26 years old, was admitted to the department of medicine on September 16, 1963. Six months ago, the patient had a cough, a headache, a slight cold every evening, and then a fever, spit-white foam-like sputum, and a small amount. Left half of the disease after the occurrence of chest pain. Two months after the onset of shortness of breath, palpitation, and spit foam sputum about 150 ml per day, the local chest X-ray findings of left chest fluid. Thoracentesis draws about 800 ml of yellow clear liquid daily. Anti-tuberculosis treatment. Due to the long-term local treatment is invalid, the left liquid pneumothorax in our hospital medicine. Formerly living in endemic areas of schistosomiasis, I have a history of water. Physical examination: moderately developed, poor nutrition, was chronic disease. Head, neck, abdomen without exception. Mild clubbing. Left chest was chronic pus pneumothorax signs.