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患者女,26岁。因胸闷、胸痛、呼吸困难3个月于1982年12月23日入院。曾在外院胸部X线摄片诊为右侧结核性胸膜炎,抗痨治疗无效。查体:端坐呼吸,口唇发绀,颈静脉怒张。心律整,心率120次/分,浅淋巴结不肿大。右胸略高于左胸,第2前肋以下叩诊实音,呼吸音消失。左肺呼吸音粗糙。心尖搏动于左第5肋间锁骨中线外1.5cm。肝脾不大,下肢无浮肿。经5个月的抗痨治疗,胸水未减少。13次胸腔穿刺排
Female patient, 26 years old. Due to chest tightness, chest pain, dyspnea 3 months in December 23, 1982 admission. Thoracic X-ray film was diagnosed in the outer right tuberculosis pleurisy, anti-tuberculosis treatment is invalid. Examination: sitting breathing, cyanotic lips, jugular vein engorgement. Whole heart rhythm, heart rate 120 beats / min, superficial lymph nodes are not swollen. Right chest slightly higher than the left chest, percussion real sound following the first 2 ribs, breath sounds disappear. Left lung breath sounds rough. Apex beat in the left intercostal clavicle midline 1.5cm. Not large liver and spleen, lower extremity no edema. After 5 months of anti-tuberculosis treatment, pleural effusion did not decrease. 13 thoracentesis row