病历摘要 患者,男性,49岁。因胸闷、气促半月于1978年8月31日入院。1978年8月15日开始感右胸闷胀、气促、微咳无痰、无盗汗及发热,尚能坚持工作。8月20日上述症状加重,稍活动即感心慌、气促。当地医院检查发现右胸第2肋间以下大量积液,抽胸水4次,均为血性,共计4,800ml。因诊断不明入我院。17年前因乏力、纳差、消瘦、肝功能检查转氨酶升高,白、球蛋白倒置,诊断为“慢性肝炎”,经休息 Medical record summary Patient, male, 49 years old. He was admitted to hospital on August 31, 1978 for chest tightness and shortness of breath. August 15, 1978 began to feel right chest tightness, shortness of breath, slight cough without sputum, no night sweats and fever, still able to work. On August 20th, the above symptoms worsened, and a slight activity felt flustered and shortness of breath. Local hospitals found a large amount of effusion below the second intercostal space in the right chest and 4 pleural effusions, all bloody, totaling 4,800 ml. Due to the diagnosis is unknown to our hospital. 17 years ago due to fatigue, anorexia, weight loss, liver function tests elevated transaminase, white, globulin inverted, diagnosed as “chronic hepatitis”, rest