患者男性 ,35岁 ,因胸闷气短一年余加重 4 0天入院 ,经胸部ＣＴ和胸水病理检查诊断为胸膜间皮瘤 (弥漫型 )。曾多次抽吸胸水并辅以顺铂等化疗药物胸腔内注入治疗 ,效果欠佳。体查 :Ｔ 36 5℃ ,Ｒ 2 2次·ｍｉｎ- 1,面部中度浮肿 ,气管向左移位。左侧胸廓塌陷 ,呼吸运动消失 ,语 The patient was male, 35 years old. He was admitted to the hospital for more than one year after chest tightness and shortness of breath. He was diagnosed as pleural mesothelioma (diffuse type) by chest CT and pleural fluid pathological examination. He has repeatedly pumped pleural effusions and supplemented with cisplatin and other chemotherapy drugs into the chest cavity, the effect is not good. Physical examination: T 36 5°C, R 2 2 ·min- 1, moderate facial edema, tracheal shift left. The left chest collapses, and the respiratory movement disappears.