男患,17岁,学生。于1981年7月7日因左胸痛伴咳嗽8天来我院门诊胸透诊断为左侧胸腔积液,收住院治疗,患者平素健康,父亲于二年前曾患肺结核。体检:体温37.6℃,脉搏78次/分,呼吸20次/分,血压120/80mmHg,气管右移,左胸丰满,肋间隙增宽,明显叩浊,语颤消失,呼吸音消失,心尖搏动位于右侧锁骨中线4～5肋间,此处可闻Ⅱ级缩鸣, Male suffering, 17 years old, student. On July 7, 1981 due to left chest pain with cough for 8 days to our hospital clinically diagnosed as a left chest pleural effusion, admitted to hospital for treatment, patients usually healthy, his father had tuberculosis two years ago. Physical examination: body temperature 37.6 ℃, pulse 78 beats / min, breathing 20 beats / min, blood pressure 120 / 80mmHg, right trachea, left chest fullness, intercostal space widened obviously knock turbidity, vanish, breath sounds disappear, apical beating Located in the right clavicle midline 4 to 5 intercostal, where you can smell Ⅱ level Ming Ming,