患者男,69岁,因慢性咳嗽咳痰20~+年,痰中带血、胸痛2~+月,加重6天而住急症室。患者有40年吸烟史。查体:恶液质,双肺闻及干湿性罗音,右肺呼吸音明显减低,心音略遥远,律整,各瓣膜区未闻及杂音。心电图示窦性心律。胸片示双肺纹理粗乱,右肋膈角略钝,右肺门增大呈半圆状致密影 Male patient, 69 years old, due to chronic cough and sputum 20 ~ + years, bloody sputum, chest pain 2 ~ + month, aggravating the 6-day and emergency room. The patient has a 40-year history of smoking. Physical examination: evil liquid, lung smell and wet and dry rales, right lung breath was significantly reduced, slightly distant heart sound, law, the valve area has not heard of noise. Electrocardiogram sinus rhythm. Chest radiograph showed coarse texture of the lungs, right pleural angle slightly blunt, the right hilar enlargement was semicircular dense shadow