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患者女性、53岁,因咳嗽,憋气1年余,逐日加剧,在外院以“结核性胸膜炎”住院,给予链霉素、异烟肼、利福平治疗,12次胸腔穿刺,抽出淡黄色胸水总量约1万毫升。胸膜腔内注入链霉素。治疗45天症状无好转,1987年2月5日转入我院。追询病史:患者病后无胸痛、盗汗、低热等症状,否认结核病接触及患病史。查体:T36.5℃,呼吸略急促,表浅淋巴结无肿大,气管轻度左移,颈静脉无怒张,右胸部饱满,呼吸度减弱,第三、四肋下叩诊实音,右肺呼吸音明显降低,未闻及干湿罗音。腹部体征阴性。1:
The female patient, 53 years old, had aggravated daily due to cough and sputum for more than 1 year. She was hospitalized in the hospital with “tuberculous pleurisy” and was treated with streptomycin, isoniazid, and rifampin. Thoracic puncture was performed 12 times and pale yellow pleural effusion was withdrawn. The total amount is about 10,000 milliliters. Intrapleural injection of streptomycin. There was no improvement in symptoms on the 45th day of treatment. On February 5th, 1987, he was transferred to our hospital. The medical history was sought: The patient had no symptoms of chest pain, night sweats, and low fever, and denied contact with the tuberculosis and his medical history. Physical examination: T36.5°C, slightly shortness of breath, no enlargement of superficial lymph nodes, slightly left trachea movement, no engorgement of jugular veins, fullness of right chest, weakened respiration, and real diagnosis of third and fourth ribs. Right Lung breath sounds decreased significantly, and dry and wet rales were not heard. Abdominal signs are negative. 1: