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患者男性 ,6 6岁。因不规则发热 40天 ,胸闷、呼吸困难4天入院。体检 :Ｔ 37 6℃ ,Ｐ 10 8次 /分 ,Ｒ 30次 /分 ,ＢＰ 90 /6 0ｍｍＨｇ。慢性极度消瘦病容 ,贫血貌。气管右移 ,左胸塌陷 ,肋间隙变窄 ,语颤减弱 ,左下肺叩诊呈实音 ,呼吸音消失 ,右肺呼吸音稍粗。心界右移 ,心音?
Male patient, 6 6 years old. 40 days due to irregular heat, chest tightness, difficulty breathing 4 days admission. Physical examination: T 37 6 ° C, P 10 8 beats / min, R 30 beats / min, BP 90/60 mmHg. Chronic extreme thinness, anemia appearance. Right trachea, left chest collapse, intercostal space narrowing, weakened tremor, percussion left lung was a real note, breath sounds disappear, right lung breath sounds a bit coarse. Heart right, heart sound?