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例1,男性,31岁,住院号177653。因右上肢疼痛、无力,症状进行性加重,肌肉渐萎缩1年6个月,于1986年9月8日入院。外院按“臂丛神经炎”、“多发性肌炎”治疗无效。查体:一般状况差,T38.2℃;右锁骨上窝触及5×6×2cm~3之包块,质硬、压痛、不活动,右侧Horner 氏征阳性。右上肢肌张力低,肩胛带明显肌萎缩,右手骨间肌、鱼际肌轻度萎缩,手指伸展不能。右肱二、三头肌腱反射减弱;C_5—T_1感觉减退。实验室检查:血沉55mm/h;血色素80g/L,铁蛋白130μg/dl;脑脊液正常。胸部X 线平片示:右上肺野及肺尖密度增高(颈部包块投影所致),气管左移,
Example 1, male, 31 years old, hospital number 177653. Due to the right upper extremity pain, weakness, progressive increase in symptoms, muscle atrophy 1 year and 6 months, on September 8, 1986 admitted. Outside the hospital by “brachial plexus”, “polymyositis” treatment is invalid. Physical examination: poor general condition, T38.2 ℃; right supraclavicular fossa touched 5 × 6 × 2cm ~ 3 mass, hard, tender, inactive, right Horner’s sign positive. Right lower extremity muscle tension is low, scapular with significant muscle atrophy, right interosseous muscle, a slight atrophy of the turbinate, finger extension can not. Right brachial and triceps tendon reflex decreased; C_5-T_1 sensory loss. Laboratory tests: ESR 55mm / h; hemoglobin 80g / L, ferritin 130μg / dl; normal cerebrospinal fluid. Chest X-ray showed: right upper lung field and lung density (due to projection of the neck mass), left trachea,