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患者男,16岁,于3个月前出现咳嗽、咳痰、发热及右侧胸痛,在院外按“肺结核”治疗病情逐渐加重,并出现明显呼吸困难及咯血。查体:强迫右侧卧位,浅表淋巴结无肿大,头颈部、上肢及前胸部水肿,呈暗红色,静脉怒张。气管左移,左肺呼吸音粗,右胸饱满,中下部叩实,呼吸音消失。心脏及腹部、下肢无异常。X 线胸片:双肺纹理增
The male patient, aged 16 years, developed cough, sputum, fever, and right chest pain 3 months ago. He was treated with “tuberculosis” outside the hospital and his condition was gradually worsened. Obvious dyspnea and hemoptysis appeared. Examination: Forced right supine position, superficial lymph nodes without swelling, head and neck, upper limbs and anterior chest edema, dark red, vein engorgement. The left side of the trachea was shifted. The left lung had a thick breath, and the right chest was full. The lower part of the trachea was full and the breath sounds disappeared. The heart, abdomen and lower extremities were normal. X-ray chest: double lung texture increase