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患者男性,64岁,农民.于1993年11月2日入院.患者于晨起活动时咳嗽,后感胸部钝痛.伴有明显胸闷、气短.胸透:右胸中外方透亮度增高,肺纹理消失,右肺组织向肺门处压缩约30%,右下可见少量液平面,急诊入院.入院后给吸氧,抗感染及对症治疗.半月后右侧气胸吸收,但该侧胸腔积液逐渐增多.曾先后3次抽出胸水约2500ml,并给予异烟肼、利福平治疗半月,病人仍感胸闷、心悸、气短、右侧胸痛.患者既往有冠心病,慢性支气管炎,肺气肿,陈旧性肺结核.
Patient male, 64 years old, farmer, was admitted on November 2, 1993. The patient cough during the morning activities, the back of the chest feeling dull pain accompanied by obvious chest tightness, shortness of breath shortness of the chest: The texture disappears, the right lung tissue to the hilar compression at about 30% lower right shows a small amount of liquid level, emergency admission .After admission to oxygen, anti-infective and symptomatic treatment .After half a month on the right pneumothorax, but the side of pleural effusion Gradually increased .Three times out of about 2500ml of pleural effusion, and given isoniazid, rifampin treatment for half a month, the patient is still feeling chest tightness, palpitations, shortness of breath, right chest pain .Patients with coronary heart disease, chronic bronchitis, emphysema Old tuberculosis.