患儿女,9岁,1992年12月9日入院。入院前5日出现发热、轻咳、恶心、呕吐,不能进食,病程第4日出现少尿,自感胸闷,气短、呼吸困难,不能平卧,发病第5日以休克急诊入院。入院后立即抗休克治疗,休克纠正后血压稳定,但呼吸困难未能缓解,平卧困难,并出现柏油便,吐咖啡样胃容物。12月10日行胸穿术,右侧胸腔抽出新鲜不凝血性积液1000ml;次日 Children with children, 9 years old, December 9, 1992 admission. 5 days before admission fever, light cough, nausea, vomiting, can not eat, the first 4 days of oliguria, self-feeling chest tightness, shortness of breath, difficulty breathing, can not lie down, the onset of shock on the 5th admission to hospital. Anti-shock treatment immediately after admission, blood pressure stabilized after shock correction, but failed to relieve dyspnea, supine difficulties, and tarry, spit-like coffee-like stomach content. December 10 thoracotomy, the right chest out of fresh coagulation fluid 1000ml; the next day