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本文对肺栓塞误诊为结核性胸腔积液1例分析如下。1病历摘要男,65岁。因咳嗽、胸闷1个月余,伴发热2d入院。患者近1个月出现咳嗽,咳痰,痰为白色泡沫样,伴右侧胸闷,自服消炎药及在外输注头孢哌酮钠1周,无好转,2d前出现发热,测体温最高37.8℃。于2010-04-15来我院门诊求治,摄胸片示右侧胸腔积液,遂收入院。既往有10a余高血压病史,5a前曾患脑梗死,一直感左下肢无力。查体:T 37.8℃,P 102次/
Pulmonary embolism misdiagnosed as tuberculous pleural effusion in 1 case analyzed as follows. 1 medical record summary male, 65 years old. Due to cough, chest tightness more than 1 month, with fever 2d admission. Patients with cough, sputum sputum, white foam-like sputum, with right chest tightness, self-medication anti-inflammatory drugs and infusion of cefoperazone sodium 1 week, no improvement, 2d before the onset of fever, measured body temperature up to 37.8 ℃. To our hospital in 2010-04-15 seeking treatment, chest radiograph showed the right pleural effusion, then income hospital. Past history of more than 10 years of hypertension, had a cerebral infarction 5a, has been feeling the left lower limb weakness. Physical examination: T 37.8 ℃, P 102 times /