患者,男,43岁,1975年3月初出现干咳、乏力、发热,7月体力劳动后胸部闷痛、呼吸困难。8月初在某院拍胸片、抽胸水检查,诊断为结核性胸膜炎,抽出血性胸水400ml。此后18年经7所医院和6所乡级卫生院诊治,均按结核性包裹性胸膜炎治疗,先后行胸穿60余次,胸腔注射雷米封8次、脑垂体后叶素12次、链霉素10次,胸腔盐水冲洗24次。1993年8月来我科就诊,经全面检查,诊断为浸润型肺结核,右侧结核性包 Patients, male, 43 years old, early March 1975 appeared dry cough, fatigue, fever, chest pain in July after manual labor, breathing difficulties. August early in a hospital shot chest X-ray, chest X-ray examination, diagnosis of tuberculous pleurisy, pumping bloody pleural effusion 400ml. After 18 years of treatment by seven hospitals and six township hospitals, according to tuberculous pleurisy treatment, followed by chest wear more than 60 times, thoracic injection Remy closed eight times, pituitary hormone 12 times, chain 10 times, thoracic saline flush 24 times. August 1993 to our department for treatment, after a comprehensive examination, diagnosis of infiltrative pulmonary tuberculosis, tuberculous right package