右后上纵隔转移性肝癌破裂致胸内大出血一例

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患者男,47岁。因打羽毛球时突发右胸痛,1 h后出现晕厥伴短暂意识丧失,而急诊入院。该患者有乙肝病毒携带史和嗜酒史。查体:血压80/60 mm Hg,脉搏108次/分,神智清楚,面色苍白,右胸叩诊浊音,右肺呼吸音低。床旁B超示: Male patient, 47 years old. Sudden right chest pain when playing badminton, syncope with 1 h after the loss of short-term consciousness, and emergency admission. This patient has a history of hepatitis B virus carriage and alcohol abuse. Physical examination: blood pressure 80/60 mm Hg, pulse 108 beats / min, clear mind, pale, right chest percussion dullness, right lung breath sounds low. B-bed next to show:
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