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患者,男,56岁。近两个月胸闷气短,咳黄痰,胸透发现右胸包裹性积液。于1978年11月18日以慢性气管炎、肺气肿、包裹性胸膜炎收入内科,经消炎治疗,多次胸穿放出土黄色积液共500毫升,症状仍无好转,于1979年2月14日转外科。否认结核史,无吸烟、嗜酒爱好,气短5～6年。检查:体温36.2℃,血压130/80毫米汞柱,脉搏88次/分,右胸下部稍凹陷,语颤及语音传导减弱,叩诊实感,双肺可闻干鸣,右肺下野呼吸音明显减弱,心音在剑突偏左听诊清楚,心率88次/分,规律,无杂音,腹部平软,余无异常。化验:胸穿液为土黄色,胆固醇定量660毫克％
Patient, male, 56 years old. Nearly two months chest tightness, shortness of breath, cough yellow sputum, thoracic found right chest wrapped fluid. On November 18, 1978 with chronic bronchitis, emphysema, paroxysmal pleurisy income medical treatment, anti-inflammatory treatment, many times to release a total of 500 tons of yellow liquid effusion, the symptoms still no improvement, in February 1979 14 Day transfer surgery. Denied the history of tuberculosis, non-smoking, alcohol-loving, shortness of breath 5 to 6 years. Examination: body temperature 36.2 ℃, blood pressure 130/80 mm Hg, pulse 88 beats / min, a slight depression in the lower right chest, tremor and voice conduction weakened, percussion real sense of the lungs can be heard dry Ming, right lung descending breath sounds were significantly weakened , Heart sound in the xiphoid left auscultation clear, heart rate 88 beats / min, regular, no noise, abdomen flat soft, I no exception. Laboratory: Thoracotomy fluid is khaki, cholesterol, 660 mg%