论文部分内容阅读
患者男,37岁。因胸闷、气短、盗汗、厌食、消瘦1月于1989年1月22日入院。查体:T37.5℃,P80次/分,R22次/分,BP14/10kPa,一般情况差,全身皮肤粘膜无苍白,浅表淋巴结未触及,气管右移,右侧第6后肋以下叩实,呼吸音消失,心脏听诊无异常,肝脾未触及。Hb130g,WBC4.7×10~9/l,PC120×10~9/l,胸透视左侧胸腔积液。血沉50mm/h。拟诊为结核性胸膜炎。给予抗痨治疗半月无效。抽血性胸水3次,量约2000ml,胸水中见大量间皮细胞,形态正常,胸水乳酸脱氢酶906u。OT 试验(-),血、骨髓、胸水培养阴性,骨髓常规示正常骨髓象,胸部CT 示左胸腔中等量
Male patient, 37 years old. Due to chest tightness, shortness of breath, night sweats, anorexia, weight loss in January January 1989 admission. Physical examination: T37.5 ℃, P80 beats / min, R22 beats / min, BP14 / 10kPa, the general situation is poor, the whole body mucous membrane without pale, superficial lymph nodes not touched, right trachea, Really, the breath sounds disappear, no abnormal heart auscultation, liver and spleen not touched. Hb130g, WBC4.7 × 10 ~ 9 / l, PC120 × 10 ~ 9 / l, chest fluoroscopy on the left pleural effusion. ESR 50mm / h. To be diagnosed as tuberculous pleurisy. Give anti-tuberculosis treatment for half a month is invalid. 3 times the bloody pleural effusion, the amount of about 2000ml, pleural effusion see a large number of mesothelial cells, normal morphology, pleural fluid lactate dehydrogenase 906u. OT test (-), blood, bone marrow, pleural effusion negative, normal bone marrow showed normal bone marrow, chest CT showed the middle left chest volume