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临床资料患者女性,50岁。因“间断干咳、胸痛2个月,加重伴气短1个月”于2005年9月26日入院。患者2个月前无诱因间断出现咳嗽及右侧胸痛,深吸气时明显,无发热、咳痰、咯血及呼吸困难。胸部X线片示右侧少量胸腔积液(图1),在外院行胸腔穿刺胸腔积液检查为单核细胞为主的渗出液,考虑为结核性胸膜炎,予异烟肼、利福平和乙胺丁醇三联抗结核治疗1个月,胸痛继续加重,并出现活动后胸闷气短,复查胸部X线片示右侧胸腔积液明显增多(图2)。为进一步诊治入我院。自发病以来,患者食欲下降,二便正常,近2个月内体重减少
Clinical data Patients Female, 50 years old. Because of “intermittent dry cough, chest pain for 2 months, increased with shortness of breath 1 month ” was admitted on September 26, 2005. Patients 2 months ago, there was no incentive intermittent cough and right chest pain, deep inspiration was obvious, no fever, sputum, hemoptysis and breathing difficulties. Chest X-ray showed a small amount of pleural effusion on the right (Figure 1), outside the hospital line of thoracentesis for mononuclear cell effusion, consider tuberculous pleurisy, isoniazid, rifampin and Ethambutol triple anti-TB treatment for 1 month, chest pain continued to worsen, and chest tightness after shortness of breath, chest X-ray examination showed a significant increase in pleural effusion (Figure 2). For further diagnosis and treatment into our hospital. Since the onset, the patient’s appetite decreased, two will be normal, nearly 2 months weight loss