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患者,女性,40岁。一年半前出现左侧上胸部不适、沉重感,不伴咳嗽、咯痰、胸闷、气短等,未介意。后逐渐出现左肩背部疼痛及左上肢麻木感,并逐渐加重,疼痛向左上肢内侧放射,左上肢肌肉逐渐萎缩,活动欠灵活。半年前出现左眼上睑下垂,左半身乳线以上无汗。在当地医院诊为“颈椎间盘突出”,于1996年3月12日行“颈椎间盘摘除术”。术后左上肢麻木感曾一度减轻,但很快又复出现,并伴左上肢紧缩感,内侧痛温觉消失,左上肢肌肉萎缩逐渐加重。术后1个月,左手已不能握拳,并发现左侧颈部有一肿物,无疼痛,自以为是颈套压迫所致,未予检
Patient, female, 40 years old. A year and a half ago there was discomfort and heavy feeling on the upper left side of the chest, no cough, expectoration, chest tightness, shortness of breath, etc., and did not mind. Later, he developed pain in the left shoulder and back, and a numbness in the left upper extremity. He gradually became heavier. The pain radiated to the inner side of the left upper extremity, and the muscles in the left upper extremity gradually atrophied, and the activities were not flexible. Six months ago, there was a ptosis in the left eye and no sweat in the left half of the breast. He was diagnosed as “cervical disc herniation” at the local hospital and “cervical discectomy” was performed on March 12, 1996. The sensation of numbness in the left upper extremity was once relieved, but it quickly reappeared, with a sense of tightness in the left upper extremity, the disappearance of medial pain and atrophy of the left upper extremity. One month after surgery, the left hand could no longer make a fist and found that there was a mass on the left side of the neck, no pain, and it was thought that it was caused by compression of the neck sleeve.