患者女性,35岁。因发热、咳嗽、胸痛半月,心累、气短2天来院摄胸片诊为双肺Ⅲ型肺结核收住院。十天前曾在本市两家院所摄片诊断左肺结核、痰涂阴性,给予异烟肼、利福平、吡嗪酰胺、链霉素短程化疗。查体;浅表淋巴结未扪及,颈静脉无怒张,气管居中,左下语头减弱,叩诊实响,呼吸音消失,心动过速、律齐、肝脾肋下未及,下肢无水肿。胸片:左 Patient female, 35 years old. Due to fever, cough, chest pain half a month, tired heart, shortness of breath 2 days to hospital chest X-ray diagnosis of tuberculosis type Ⅲ hospital. Ten days ago in the city of two hospital radiography diagnosis of left lung tuberculosis, sputum smear negative, given isoniazid, rifampin, pyrazinamide, streptomycin short-course chemotherapy. Physical examination; superficial lymph nodes were not palpable, jugular vein without tension, tracheal center, lower left lower head, percussion ring, breath sounds disappear, tachycardia, law Qi, liver and spleen ribs, lower extremity edema. Chest radiograph: left