患者男,60岁。因咳嗽、咳痰伴胸闷、气促2个月入院。既往有慢性支气管炎病史。体检:一般情况好。右上肺呼吸音弱,语音传导低,扣诊过清音。心脏无异常。血常规正常。胸片示右中上肺野呈一片无纹理的透光区,下方肺组织膨胀不全,心脏轻度左移。诊断:右侧自发性气胸。入院前曾在外院行胸穿抽气2次各800ml,入院 Male patient, 60 years old. Due to cough, sputum with chest tightness, shortness of breath 2 months admission. Past history of chronic bronchitis. Physical examination: the general situation is good. Upper right lung breath sounds weak, low voice conduction, deduction over the voiceless. No abnormal heart. Normal blood. The chest radiograph showed a light-transmitting area with no texture in the right middle and upper lung field. The lung tissue underneath dilated and the heart shifted slightly to the left. Diagnosis: Right spontaneous pneumothorax. Before admission, she was admitted to the hospital twice a day for chest ventilation and 800ml each for admission