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临床资料患者,女,65岁,气喘伴咳嗽半年。无痰中带血,无胸痛。查体:颈静脉无怒张,气管居中,胸廓无畸形,触觉语颤左侧增强,叩诊左肺浊音,听诊左肺呼吸音低,双肺未闻及明显干湿性啰音。胸部X线示:左侧胸腔巨大占位(图1)。胸部CT示:左侧胸腔见低密度影,CT值-105 Hu,增强后见条状轻度强化影,占据左侧胸腔大部,左下肺膨胀不全(图2)。心电图、血常规、凝血常规及生化检查未见异常。
Clinical data Patients, female, 65 years old, asthma with cough for six months. No sputum bloody, no chest pain. Physical examination: no jugular vein engorgement, tracheal center, thoracic no deformity, tactile fibrillation left enhanced, percussion left lung dullness, auscultation of left lung breath sounds low, lungs unobvious and obvious dry wet rales. Chest X-ray showed a huge space on the left chest (Figure 1). Chest CT showed: the left side of the chest to see the low density, CT value -105Hu, enhanced see the strip of mild enhancement, occupy the left side of the chest most of the left lower lung dilatation (Figure 2). Electrocardiogram, blood, coagulation and biochemical tests showed no abnormalities.