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临床资料 女性,28岁,1993年8月始左胸痛、胸闷,症状呈进行性加重,患者自述曾有低热,偶有盗汗,在外院多次行胸腔穿刺,每次穿刺抽液后即感缓解,尔后症状复现且加重,遂再次行胸腔穿刺共抽出“枯草”样胸水约3200ml,并多次穿刺活检,结果均为与正常组织结构相似的组织,故以“结核性胸膜炎”行抗结核治疗近2个月,疗效不显,症状渐加重且出现腰痛、气短并持续低热。于1994年7月26日由我院呼吸内科转入我科。入院查体:气管明显右偏,左胸膨隆呼吸
Clinical data Female, 28 years old, left chest pain and chest tightness since August 1993. Symptoms were progressively worsening. The patient complained of low fever, occasional night sweats, and multiple pleural punctures in the outer hospital. He felt relieved after each puncture. After the symptoms recurred and aggravated, a total of 3,200ml of “blight” pleural effusion was extracted from the thoracentesis again, and biopsy was performed multiple times. The results were all similar to the normal tissue structure. Therefore, tuberculous pleurisy performed antituberculosis. In the past 2 months, the effect was not significant, symptoms became worse and there was low back pain, shortness of breath, and persistent fever. On July 26, 1994, the department of respiratory medicine in our hospital was transferred to our department. Admission examination: obviously right trachea, left chest bulging breathing