论文部分内容阅读
患者,男,30岁。以左侧胸痛2月主诉入院。入院前2月患者无诱因胸痛不适,呈持续性钝痛,向肩背部放射,吸气时加重,无心慌、气短、发热、盗汗、咳嗽、咯血等。在乡卫生院按胸膜炎给予正规抗结核治疗,疗效不著。否认结核、肝炎等慢性传染病史。查体:T36.8C,R18次/min,P76次/min,BP14/10kPa,浅表淋巴结不大。头颅无畸形。胸廓对称,无压痛。左肺呼吸动度减弱,底部叩诊呈浊音,未闻及干湿罗音。右肺呼吸音正常。实验室检查:血、尿、粪常规、血沉、血脂、肝功、
Patient, male, 30 years old. The main complaint was left chest pain in February. In February, there was no predisposition for chest pain in patients before admission, persistent dull pain, radiation to the back of shoulders, aggravation of inspiratory, palpitation, shortness of breath, fever, night sweats, cough and hemoptysis. In the township hospitals by pleurisy given regular anti-TB treatment, curative effect. Denied the history of chronic infectious diseases such as tuberculosis and hepatitis. Physical examination: T36.8C, R18 times / min, P76 times / min, BP14 / 10kPa, superficial lymph nodes is not large. Head without deformity. Symmetrical thorax, no tenderness. Respiratory left lung weakness, the bottom of percussion voiced, did not smell and wet and dry rales. Right lung breath sounds normal. Laboratory tests: blood, urine, fecal routine, ESR, blood lipids, liver function,