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患者男,62岁。因胸骨后疼痛,低热、痰中带血1月余入院。入院时查体:血压12/8kPa (90/60mmHg),发育正常,营养中等,精神状态好。表浅淋巴结未触及。巩膜、皮肤无黄染、出血点。头颅五官外观未见异常。气管居中,胸壁静脉显露,心肺听诊无异常,肝脾肋下未及。入院后经胸片、CT扫描、纤维支气管镜检查,确诊为左肺小细胞癌,肺门、纵隔
Male patient, 62 years old. Because of the pain in the back of the sternum, fever and bloody sputum was admitted to the hospital for more than one month. Physical examination on admission: Blood pressure 12/8kPa (90/60mmHg), normal development, moderate nutrition, good mental state. Superficial lymph nodes are not touched. Sclera, skin without yellow dye, bleeding. No abnormalities were found in the appearance of the skull. Central trachea, chest wall vein exposure, no abnormal heart and lung auscultation, liver and spleen ribs not. After admission, chest X-ray, CT scan, and fiberoptic bronchoscopy confirmed the diagnosis of left lung small cell carcinoma, hilar and mediastinum.