1　病例报告患者男 ,45岁。因胸闷、轻微胸痛、呼吸困难 2 0天 ,于1999年 9月 4日以胸膜炎入院。查体 :Ｔ 37℃ ,不伴寒战 ,无咽痛 ,稍有轻微咳嗽无血丝痰。皮肤无瘀斑 ,鼻、牙龈无出血 ,胸骨无压痛 ,全身浅表淋巴结无肿大 ,肝脾肋下未及 ,心脏正常。左肺呼吸运动减弱 ,叩诊浊? 1 Case report Male patient, 45 years old. Because of chest tightness, slight chest pain, dyspnea for 20 days, she was admitted to hospital with pleurisy on September 4, 1999. Physical examination: T 37°C, no chills, no sore throat, slight cough, no bloodshot sputum. The skin had no ecchymosis, and there was no bleeding in the nose and gums, no tenderness in the sternum, no enlargement of superficial lymph nodes in the body, no liver and spleen ribs, and normal heart. Left lung breathing movement weakened, phlegm?