病历摘要男性患者,57岁,因左侧胸痛伴低热、咳嗽、消瘦4个月而入院。4个月前始感左侧胸部隐痛,继为刺痛,于呼吸时加重,轻咳白色泡沫痰,低热。经当地医院检查诊为左侧胸膜炎,先后抽胸水三次,计1,700毫升。前两次为淡黄色透明液体,后为暗红色血性胸水。胸水中未查到瘤细胞,痰抗酸杆菌阴性,血沉85毫米/小时。给予抗痨治疗一个半月,疗效欠佳。患者于1964年曾患肺结核,药物治疗两年痊愈。吸烟史40余年,每天约40支。体检:体温36.4℃,脉搏94次,呼吸23次,血压120/80。慢性消耗面容,浅表淋巴结未触及。气管 Medical history Abstract Male patient, 57 years old, was admitted to hospital with left chest pain with fever, cough and weight loss for 4 months. 4 months ago, the beginning of the left chest pain, followed by stinging, increased breathing, light cough white foam sputum, fever. After examination by the local hospital for left pleurisy, has pleaded pleural effusion three times, accounting for 1,700 ml. The first two times as a light yellow transparent liquid, dark red bloody pleural effusion. Pleural effusion was not found in tumor cells, sputum acid-fast bacilli, erythrocyte sedimentation rate 85 mm / hour. Give anti-tuberculosis treatment a month and a half, poor efficacy. The patient had tuberculosis in 1964 and healed after two years of medication. More than 40 years of smoking history, about 40 per day. Physical examination: body temperature 36.4 ℃, pulse 94 times, breathing 23 times, blood pressure 120/80. Chronic consumption of face, superficial lymph nodes not touched. trachea