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患者女,54岁。4天前咳嗽时感胸闷、气促,胸片示左肺组织被压缩90％,以SLE,左侧气胸于1988年4月9日入院。患者15年前出现发热、关节痛、白细胞血小板减少、皮疹、狼疮细胞、荧光抗核抗体阳性;1年后阵发性胸闷、心悸;2年前胸部X片示“肺大泡”。查体:体温38.8℃,呼吸20次/分,心率76次/分,早搏6次/分,心音略低,气管右移,左胸廓较饱满,呈过清音,呼吸音减低;双手指指关节梭形,皮肤(-)。实验室检查:白细胞7.2×10~9/L,中性0.54;荧光抗核抗体1:640;GPT 35u/L,GOT 47u/L;白蛋白/球蛋白3.4/3.5,抗“O”、LDH,CPK、BUN、
Female patient, 54 years old. Chest tightness and shortness of breath when coughing were observed 4 days ago. Chest radiographs showed that left lung tissue was compressed by 90% to SLE. The left pneumothorax was admitted on April 9, 1988. The patient developed fever, joint pain, leukopenia, rash, lupus cells, and fluorescent anti-nuclear antibodies 15 years ago; paroxysmal chest tightness and palpitations after 1 year; Physical examination: body temperature 38.8 ℃, breathing 20 beats / min, heart rate 76 beats / min, premature beats 6 beats / min, heart sounds slightly lower, trachea right, left chest contour more full, Fusiform, skin (-). Laboratory tests: leukocyte 7.2 × 10 ~ 9 / L, neutral 0.54; fluorescent anti-nuclear antibody 1: 640; GPT 35u / L, GOT 47u / L; albumin / globulin 3.4 / 3.5, , CPK, BUN,