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病人,女,49岁。反复胸闷、发热1年余。院外曾多次行胸腔穿刺抽液,胸水脱落细胞多次检查未找到异形细胞。查体:右侧胸饱满,上胸叩诊鼓音,下胸叩诊浊音,右侧肺呼吸音完全消失。X线胸片示大量液气胸。行胸腔闭式引流,引流出大量稀薄脓液,但肺不能复张。查胸部CT示:右肺不张、纤维化,胸膜肥厚伴胸腔积液。 1999年8月行右剖胸探查术。术中见壁层胸膜增厚约为0.50cm,脏层胸膜约为0.20cm,右胸仍有部分稀薄脓液,右全肺萎缩成约8.0cm×6.0cm块状组织,质硬,各肺
Patient, female, 49 years old. Repeated chest tightness, fever more than 1 year. Outside the hospital had pleural puncture fluid, pleural effusion cells repeatedly found no abnormal cells. Physical examination: right chest full chest percussion Drum sound, lower chest percussion voiced sound, right lung breath sounds completely disappeared. X-ray showed a large number of liquid pneumothorax. Row closed thoracic drainage, draining a large number of thin pus, but the lungs can not be repeated. Chest CT examination showed: right atelectasis, fibrosis, pleural hypertrophy with pleural effusion. August 1999 line right chest thoracotomy. Intraoperative see parietal pleural thickening of about 0.50cm, visceral pleura is about 0.20cm, the right chest is still part of the thin pus, the right lung atrophy into about 8.0cm × 6.0cm massive tissue, hard, each lung