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讨论讨论来稿均指出本病例主要临床表现有以下特点:①青年,②一年前有右肺局灶型肺结核史;③发病急,进展快;④以发热,咳嗽与胸痛为主要症状,胸痛消失后出现呼吸困难;⑤入院时有明显右胸腔积液体征,唇周紫绀,右侧胸廓饱满,肋间隙消失,呼吸运动减弱,气管向左侧移位,右胸语颤减弱,右肺呈实音,实音区呼吸音消失,胸部X线透视见右肺第4前肋以下一片密影,阴影上缘呈弧形;⑥入院时白
Discussions and discussion Contributions were pointed out that the main clinical manifestations of this case has the following characteristics: ① young people, ② a year ago with a history of right lung focal tuberculosis; ③ acute onset, rapid progress; ④ to fever, cough and chest pain as the main symptoms, chest pain disappeared After admission there was obvious signs of right pleural effusion, cyanosis of the lip, right thorax full, disappearance of intercostal space, decreased respiratory activity, tracheal shift to the left, right thoracic tremor weakening, right lung was real Tone, sound zone disappeared breathing sound, chest X-ray see the right lung before the first four ribs a shadow, the shadow of the edge of the arc; ⑥ white