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患者 男,32岁。主因间断性咳嗽、咳痰1年半,活动后憋喘半年,于1997年6月7日收入院。于1年半前无任何诱因咳嗽,咳白粘痰,偶带血丝,无发热、盗汗、乏力等症状。曾给予青霉素抗炎治疗,症状无明显好转。胸片示右侧胸腔少量积液。乙肝全项提示乙型肝炎。之后11个月,患者胸闷、憋气加重。CT检查示:右肺多发性肺大泡,胸腔积液,胸膜肥厚粘连。间断抗炎治疗,病情仍无明显缓解。半年后出现右侧胸痛、仍咳嗽、咳黄痰,痰有腥臭味。再次胸片示右侧胸腔高密度阴影,收住院。入院查体:一般情况可,表浅淋巴结未及,无紫绀。
Male patient, 32 years old. Mainly due to intermittent cough, coughing for 1 year and a half, breathing and breathing for six months after the event, was admitted to the hospital on June 7, 1997. One year and a half ago, there was no incentive for coughing, coughing and whiteness, bloodshot sputum, no fever, night sweats, and fatigue. The anti-inflammatory treatment of penicillin was given without obvious improvement of symptoms. The chest radiograph shows a small amount of fluid in the right chest. Hepatitis B is the whole item prompting hepatitis B. After 11 months, her chest tightness and hernia increased. CT examination showed multiple bullae in the right lung, pleural effusion, and pleural hypertrophy and adhesion. Intermittent anti-inflammatory treatment, the condition is still no significant relief. Six months later, right chest pain, still coughing, jaundice, and stench were found. The chest radiograph again shows the high density of the right thoracic cavity and was admitted to the hospital. Admission examination: the general situation can be, no superficial lymph nodes, no purpura.