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1996年6月,我科收住一例恶性胸膜间皮瘤患者,其临床表现以气胸,活动性血胸为主要体征,实属罕见,现结合文献复习报告如下。 1 临床资料 1.1 一般资料:患者男性,64岁,农民,咳嗽、胸闷、气喘20天,门诊胸片检查,拟右侧气胸,收住呼吸内科,行胸腔闭式引流术后,出现活动性血胸,每日引流量约800ml,虽经积极止血及输血治疗,效果不佳,转入胸外科。体格检查:右胸饱满,呼吸运动减弱,语颤减弱,叩诊呈鼓音,听诊右侧呼吸音低,触诊气管偏向左侧。 1.2 影像学检查:系列胸片可见右肺中上野透亮度增强,其内肺纹理消失,平第八肋后下缘至膈肌之间可见右肺萎陷,右肋膈角变钝,横膈下
In June 1996, our department received a case of malignant pleural mesothelioma. The clinical manifestations of pneumothorax and active hemothorax were the main signs. It is rare. 1 Clinical data 1.1 General information: Patient male, 64 years old, farmer, cough, chest tightness, asthma for 20 days, outpatient chest radiograph, planned right pneumothorax, respiratory medicine, closed thoracic drainage, active blood Chest, the daily drainage of about 800ml, despite active hemostasis and blood transfusion treatment, the effect is poor, transferred to thoracic surgery. Physical examination: full chest, respiratory movements weakened, speech trembling weakened, percussion was drum sound, auscultation right low breath sounds, palpation of the trachea biased to the left. 1.2 imaging examination: series of chest X-ray showed visible increase in the brightness of the upper lung, the internal lung texture disappeared, the eighth ribs behind the lower edge of the diaphragm to the right lung visible between the right lung collapse, the right costal horn becomes blunt, cross the diaphragm