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男患,45岁.因咳嗽、憋喘、右胸痛复发10天于1988年4月16日住院.病人无咯血、低热、盗汗等.查体右胸饱满,叩实.左肺有干鸣.胸片示右侧中量胸腔积液.一月前曾因发热(T38℃)伴咳喘、胸痛7天住院,胸片右下肺片状模糊阴影,按“肺炎”予青、链霉素、激素等治疗5天,肺部阴影消失出院.否认结核、寄生虫病史. 胸水检查:血性,蛋白(+),WBC 5.4×10~9/L,多核0、07,单核0.35,嗜酸细胞0.58.未查到结核菌及癌细胞.血常规:Hbl07g/L,WBC11.3×10~9/L.N0.7,L0.21,E0.09.ESR30mm/h,OT试验1:2,000,阴性.痰培养无致病菌.入院后抽胸水三次.量约1950ml,均为血性,嗜酸细胞58～62%之间.胸部CT排除肺癌、胸膜
Male suffering, aged 45. Due to cough, wheezing, right chest pain recurred 10 days in April 16, 1988. The patient was without hemoptysis, fever, night sweats, etc. Physical examination right chest full, knock solid. Chest X-ray showed the right side of the amount of pleural effusion.A month ago was due to fever (T38 ℃) with cough, chest pain for 7 days in hospital, chest shadow right lower lung flaky shadows, according to “pneumonia” to green, streptomycin , Hormones and other treatment for 5 days, the disappearance of the shadow of the lungs were discharged .Nurses of tuberculosis, history of parasites.Cytokinesia: bloody, protein (+), WBC 5.4 × 10 ~ 9 / L, multi-nuclear 0,07, mononuclear 0.35, addicted to Acid cells 0.58. Not found in TB and cancer cells. Blood: Hbl07g / L, WBC11.3 × 10 ~ 9 / L.N0.7, L0.21, E0.09.ESR30mm / h, OT test 1: 2,000, negative sputum culture without pathogenic bacteria after admission pumping pleural effusion three times the amount of about 1950ml, are bloody, eosinophils 58 to 62% between chest CT exclude lung cancer, pleura