患者 ,男性 ,42岁 ,于 1987年 10月2 1日因胸闷 ,气短 ,咯血 3个月入院。 1年前曾有右背部外伤史 ,2个月后自觉右胸闷 ,胀满 ,咳嗽。当地医院以“胸膜炎”治疗后症状缓解。近 3个月来右胸胀痛 ,气短 ,咳嗽加重 ,伴暗红色血痰。X线检查 :右肺中下致密影 ,心影轻度左移 ,提示右侧 The patient, male, 42 years old, was admitted to hospital on March 21, 1987 for chest tightness, shortness of breath and hemoptysis for 3 months. A year ago had a history of right back trauma, 2 months after conscious right chest stuffiness, fullness, coughing. Local hospital to “pleurisy” after treatment of symptoms. Right chest pain in the past 3 months, shortness of breath, cough, with dark red bloody sputum. X-ray examination: the right lower lung dense shadow, heart shadow mild left, suggesting the right