患者,41岁,G_1P_(10),孕38~+周,剖宫产术及双侧输卵管结扎术,手术经过顺利,术中取出一活男婴,术后第3天清晨患者出现胸闷、气喘、干咳、不能平卧、恶心。查体:T37.4℃,P112次/分,Bp13/9kPa。神志清,痛苦貌,气管居中,右肺呼吸音清晰,左上肺呼吸音消失,左下肺呼吸音减弱,并闻及肠鸣音,叩诊心脏稍向右移位,上腹部有压痛,无肌紧张及反跳痛。X 线摄片及吞钡检查:右肺正常,左侧膈肌顶弧影消失,胃肠内 Patients, 41 years old, G_1P_ (10), 38 ~ +38 weeks of pregnancy, cesarean section and bilateral tubal ligation, the operation was successful, a live baby boy was removed during surgery, patients with chest tightness and wheezing on the third day after surgery , Dry cough, can not lie down, nausea. Physical examination: T37.4 ℃, P112 times / min, Bp13 / 9kPa. Clear consciousness, painful appearance, tracheal center, right lung breath sounds clear, left upper lung breath sounds disappear, lower left lung breath sounds weakened, and heard bowel sounds, percussion heart slightly right shift, upper abdominal tenderness, no muscle tension And rebound tenderness. X-ray and barium swallow check: the right lung is normal, the left top of the diaphragm disappeared arc, gastrointestinal