患者男,3岁,因发热、咳嗽,胸闷4月余,颈项疼痛半月,呼吸困难已不能平卧周余入院。病初诊断为结核性胸膜炎,先后胸腔5次穿刺抽出黄色浑浊液,约8 00 ml,并辅以抗痨疗法,但疗效不满意,且胸水明显增多。半月前,颈项疼 Male patient, 3 years old, due to fever, cough, chest tightness in more than 4 months, neck pain half a month, dyspnea has been unable to supine weeks after admission. The disease was diagnosed as tuberculous pleurisy in the early stage. Five pleural punctures were taken out of the yellow turbid liquid for about 800 ml and supplemented with anti-tuberculosis therapy. However, the curative effect was not satisfactory and the pleural effusion was obviously increased. Half a month ago, neck pain