于某,男,农民,住院号0122。2年前曾在市医院诊断为“大叶性肺炎”未彻底治愈,2月前曾出现高烧,胸痛,咳嗽,在当地卫生所静注青霉素1周,症状稍缓解,1月前上述症状复现且咳嗽加重,故来我院就诊,经门诊诊断为肺化脓症,收住院。诊见:表情痛苦,面色灰暗,精神萎糜,形体消瘦,呈慢性重病容,呼吸困难,颈静脉怒张,颈静脉搏动明显,气管向右侧偏移,右胸下部轻度内陷, Yu, a, male, peasant, hospital number 0122. 2 years ago in the city hospital diagnosed as “lobar pneumonia” is not completely cured, 2 months ago had a high fever, chest pain, cough, penicillin at a local health clinic for 1 week , The symptoms a little relief, 1 month ago, the above symptoms recurrence and increased cough, so to our hospital, the diagnosis of pulmonary empyema by the outpatient, admitted to hospital. Diagnosis: facial expression painful, pale, spiritual wilt, body weight loss, chronic severe disease, dyspnea, jugular vein engorgement, jugular vein pulsation, trachea to the right offset, the right lower chest slightly invaginated,