病例报告 患者,男性,67岁。因咳嗽、心悸、气短、浮肿逐渐加重1年余,于1993年10月27日来我院诊治。查体:血压28/17kPa,左胸部叩诊浊音,呼吸音消失,肝在肋下3cm,下肢明显性凹陷性水肿。胸部透视示左胸腔大最胸腔积液,纵隔向右侧移位。诊断为高血压动脉硬化心脏病、心力衰竭。治疗后心衰控制,胸水不消,胸水检查为血性渗出液,7次均未找到癌细胞,疑为结核性胸膜炎,给予链霉素及异烟肼治疗近1个月后,停用抗结核药物,改用抗癌治疗。9个月后,胸水无减少,仍布满左胸腔。2年内病人虽然多次复诊,未能确诊及适当处理。1995年10月份经会诊 Case report patient, male, 67 years old. Due to cough, heart palpitations, shortness of breath, edema gradually aggravate more than 1 year, in October 27, 1993 came to our hospital for diagnosis and treatment. Examination: blood pressure 28 / 17kPa, left chest percussion dullness, breath sounds disappear, the liver in the ribs 3cm, lower limb obvious pitting edema. Thoracic chest showed the most pleural fluid chest, mediastinal shift to the right. Diagnosis of hypertensive arteriosclerosis heart disease, heart failure. Treatment of heart failure control, pleural effusion, pleural effusion bloody exudate, 7 were not found in cancer cells, suspected tuberculous pleurisy, given streptomycin and isoniazid treatment nearly 1 month after the withdrawal of anti-TB Drugs, switch to anti-cancer treatment. Nine months later, no reduction of pleural effusion, still covered with left chest. Although the patient repeated visits within 2 years, failed to confirm the diagnosis and proper treatment. October 1995 by the consultation