1病例资料患者,女性,48岁,因“左胸背部、肩部疼痛不适8个月余”于2012年10月17日入住济宁市第一人民医院呼吸内科接受治疗。既往体健。患者于2012年2月出现持续左胸背痛,伴胸闷及左颈部不适,无发热、恶心、呕吐,无声音嘶哑、夜间盗汗,患者曾于2012年10月3日在当地医院就诊,入院查体:全身皮肤黏膜无皮疹、出血点,浅表淋巴结未触及肿大,左肺呼吸音低,未闻及干湿性啰音,心音可,心率80/min,心律齐,无杂音,全腹无压痛、反跳痛,肝脾肋下未及,双 1 Case data Patients, female, 48 years old, due to “left chest back, shoulder pain discomfort more than 8 months ” on October 17, 2012 admitted to the First People’s Hospital of Jining Respiratory Medicine for treatment. Past physical health. Patients developed persistent left chest and back pain in February 2012 with chest distress and left neck discomfort, no fever, nausea and vomiting, no hoarseness and night sweats. The patients were admitted to the local hospital on October 3, 2012 and admitted to the hospital Examination: systemic skin and mucous membrane without rash, bleeding, superficial lymph nodes did not touch the swollen, left lung breath sounds low, no smell and wet and dry rales, heart sounds, heart rate 80 / min, heart rhythm, no noise, all Abdominal tenderness, rebound tenderness, liver and spleen ribs, and double