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患者女,64岁。心悸、气促3个月余入院。20年前行左侧乳腺黏液癌切除术及多次化疗。胸部CT提示:右侧胸腔大量积液,双肺多发占位。胸腔超声检查:右侧胸腔大片状液性回声,最大深度约110mm,其内透声差。超声定位后,连续三次胸腔穿刺抽液,共抽出230 ml红色液体,与胸部CT结论不符。第二次床旁超声:右侧胸腔少量积液,分布于肺底及肋膈角,最大深度约15 mm,右中下肺实变,
Female patient, 64 years old. Heart palpitations, shortness of breath more than 3 months admitted to hospital. Twenty years ago left breast mucinous carcinoma resection and multiple chemotherapy. Chest CT tip: a large number of pleural effusion on the right lung, multiple lungs occupy space. Thoracic ultrasonography: large pleural liquid on the right side of the echogenic, the maximum depth of about 110mm, the poor sound transmission inside. Ultrasound positioning, continuous thoracentesis pumping three times, a total of 230 ml of red liquid drawn out, and chest CT findings do not match. The second bedside ultrasound: a small amount of right pleural effusion, located in the bottom of the lung and costophrenic angle, the maximum depth of about 15 mm, right middle and lower lung consolidation,