一、肺不张彭某,女,27岁,1980年8月27日初诊。患者平素身体孱弱,遇寒即易咳嗽,痰少。近二月来胸部胀闷不适,右侧肋间钝痛隐隐。7月14日因右上腹持续疼痛、阵发性加剧、半日不解,以“胆道蛔虫”收住某院,经抗炎、解痉、驱虫后症状改善。住院期间,因咳嗽,双肺可闻及干、湿性罗音而作X线检查,发现“右肺中叶有一密度增高的三角形阴影”,诊断为“右肺中叶肺不张”。经用青霉素、链霉素、祛痰合剂等综合治疗后,稍有好转,但于7月25日及8月23日相继两次作X线检查,仍诊断为“右肺 I. Pulmonary arrogance Pengmou, female, 27 years old, first diagnosed on August 27, 1980. Patients usually have poor health and are often coughing and cold. Chest swelling and discomfort in the past two months, dull pain in the right intercostal space. July 14 due to continuous pain in the right upper quadrant, increased paroxysmal, half a day puzzled, to “biliary tract worms” admitted to a hospital, the anti-inflammatory, antispasmodic, anthelmintic symptoms improved. During the hospitalization, due to coughing, the lungs could be heard with dry and wet rales and X-ray examinations were performed. It was found that “in the middle of the right lung, there was a triangular shadow with increased density” and the diagnosis was “right middle lobe atelectasis.” After a combination of treatment with penicillin, streptomycin, and chelating agents, it improved slightly, but X-rays were performed twice on July 25 and August 23, still diagnosed as “right lung.”