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患者,男,21岁,住院号160319。左胸闷不适,咳嗽、痰中带血一个月,于1973年7月感左胸不适伴轻度咳嗽,白色粘痰带血,量不多,不发热,未介意,继续工作。至17日晚在睡眠中因胸闷憋醒,感左胸痛,痰中带血增多。胸透发现左前2～4肋间有三个大小不等圆形密度增高边缘光滑阴影。诊断为肺转移癌于1973年8月24日入院。幼年曾患过疟疾,1972年一度G P T升高600u。检查:T36.6℃,P72次/分,R16次/分,BP130/80mmHg,皮肤巩膜无黄染,亦无出血点及皮疹,右腋下可触及一个黄豆大小质硬之淋巴结,扁桃体I°肿大,气管居中,两侧胸对称,双侧乳房增大,心肺未发现异常,腹壁软,肝脾未触及,外生殖器发育正常。心电图正常。X线:胸片:左上、下肺有大小不等的密度均匀的圆形阴影4个,边缘整齐,肺门断层未见异常
Patient, male, 21 years old, hospital number 160319. Left chest stuffy, cough, bloody sputum for a month, in July 1973 a sense of left chest discomfort with mild cough, white phlegm blood, not much, no fever, do not mind, continue to work. To sleep on the night of 17 due to chest tightness, a sense of left chest pain, sputum blood increased. Chest X-ray found in the left front 2 to 4 intercostal three sizes ranging from the circular density increased edge smooth shadow. The diagnosis of lung metastases was admitted on August 24, 1973. Malaria had been inflicted on young children and in the year 1972 there was an increase in G P T of 600u. Check: T36.6 ℃, P72 times / min, R16 beats / min, BP130 / 80mmHg, skin sclera no yellow dye, nor bleeding and rash, the right axilla can reach a size of hard soy beans, tonsils I ° Swollen, tracheal center, bilateral symmetry on both sides of the breast increased, no abnormal heart and lung, abdominal wall soft, liver and spleen not touched, normal external genitalia. Normal ECG. X-ray: chest X-ray: the left upper and lower lungs have a uniform density of round shadows ranging from 4, neat edges, no abnormal hilar faults