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患者,男性,51岁。27年前胸透发现:“左上肺钙化影,右胸腔少量积液”。间断服用异烟肼治疗疗约半月。多次胸部X线透视及照片检查,右胸腔积液量逐渐增加。14年前因发热,胸闷,气急,住某医院,抽出胸水560ml,诊断:“右侧结核胸膜炎”。异烟肼和链霉素治疗1月,症状消失,胸水明显减少出院。2年前在某医院诊断:“右侧胸腔包裹性积液”。为进一步诊治入我院。查体T36.5℃,P80次/分,R20次/分,BP18.6/12kPa。右腋后线第8肋间隙以下叩诊实音,呼吸音消失。胸片示:右胸腔包裹性积液伴胸膜增厚。抽出黄褐色混浊胸腔积液2ml,胸水检查:Rivalea’s试验(+),红细胞1～2/高,胆固醇8.4mmol/L,蛋白63g/L,糖1.4mmol/L,氯化物13.0mmol/L,血胆固醇4.0mmol/L,血沉21mm/时。异烟肼及链霉素
Patient, male, 51 years old. Chest throat 27 years ago found: “left upper lung calcification, right chest a small amount of fluid.” Intermittent isoniazid treatment for about half a month. Multiple chest X-ray and photo examination, the right pleural effusion volume gradually increased. 14 years ago due to fever, chest tightness, shortness of breath, living in a hospital, out of pleural effusion 560ml, diagnosis: “right side of tuberculosis pleurisy.” Isoniazid and streptomycin treatment in January, the symptoms disappeared, significantly reduced pleural effusion was discharged. Two years ago in a hospital diagnosis: “right pleural encapsulated fluid.” For further diagnosis and treatment into our hospital. Physical examination T36.5 ℃, P80 beats / min, R20 beats / min, BP18.6 / 12kPa. Right axillary line after the eighth intercostal space percussion real sound, breath sounds disappear. Chest radiograph shows: Right thoracic fluid with pleural thickening. Cholestasis turbid pleural effusion was extracted 2ml, pleural effusion examination: Rivalea’s test (+), red blood cells 1 ~ 2 / high, cholesterol 8.4mmol / L, protein 63g / L, sugar 1.4mmol / L, chloride 13.0mmol / L, Cholesterol 4.0mmol / L, ESR 21mm / h. Isoniazid and streptomycin