患者,女性,49岁。因胸闷,气短2年,按心脏病治疗,症状无好转,逐渐加重半年,于2005年11月30日入院。查体:胸廓对称,双肺呼吸动度不均等,右肩胛下6～10肋间叩诊浊音,左肺野叩诊呈清音,右肺下野呼吸音消失,左肺未闻及罗音,心浊音界向左移位,右界叩不清,心率72次/分,节律规整,心音有 Patient, female, 49 years old. Due to chest tightness, shortness of breath for 2 years, according to the treatment of heart disease, no improvement in symptoms, gradually increased six months, on November 30, 2005 admitted. Physical examination: chest symmetry, unequal lung breathing, the right sub-subscapular 6 ~ 10 intercostal percussion dullness, left lung field percussion was clear voice, right lung descending breath sounds disappear, the left lung was not heard and rales, dull heart sounds Shift to the left, knocking the right world unclear, heart rate 72 beats / min, regular rhythm, heart sounds