论文部分内容阅读
患者,75岁。病案号33043,病理号11733。因咳嗽咯痰气短半月于1988年10月14日入院。既往体健。查体:气管轻度在移,左胸腔积液体征。心脏及腹部无阳性体征。诊为胸水原因待查:结核性胸水;癌性胸水待除外。给以抗痨治疗。先后抽液三次共2500ml后拍胸片为右下肺纹理重,见条索状影,无明显积液。胸水常规检查为渗出液,未找到癌细胞。四天后又有大量购水体征。又先后二次抽液共2780ml,3天后又有大量胸水。经B超腹腔探及3.4cm液性暗区,右附件有8.4cm低回声区,边界清。故转妇科手术治疗。手术见腹腔内约有300ml腹水,浅黄色透明。右卵巢不规则增大,约10×
Patient, 75 years old. Case number 33043, pathological number 11733. Due to cough, sputum short half-moon on October 14, 1988 admission. Past physical health. Physical examination: mild tracheal shift, left pleural effusion signs. No positive signs of heart and abdomen. Diagnosis of pleural effusion causes to be investigated: tuberculous pleural effusion; cancerous pleural effusion to be excluded. Give anti-tuberculosis treatment. Has pumping three times a total of 2500ml after the chest film for the right lower lung texture weight, see the cord-like shadow, no significant effusion. Pleural effusion routine examination for exudate, did not find cancer cells. Four days later there are a large number of signs of purchasing water. Has a second pumping a total of 2780ml, 3 days after a large number of pleural effusion. The B-abdominal exploration and 3.4cm liquid dark area, right attachment 8.4cm hypoechoic area, clear boundary. Therefore, Gynecological surgery. See intraperitoneal surgery about 300ml ascites, light yellow and transparent. Right ovary irregular increase, about 10 ×