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丁某、女、58岁、已婚。自1983年夏天起,经常干咳。2个月后开始咯血,一般每日数毫升,偶可达20～30ml,在外院对症处理无效。无心悸、呼吸困难、消瘦及乏力。以咯血待查于1984年5月2日入院。既往身体健康,47岁闭经,无前颈部疼痛及包块史。无慢性咳嗽、咳痰、盗汗及低热史。体检:T37.4C,P84/min,BP13.3/9.33KPa(100/70mmHg),R20/min。神清,营养中等。眼球不突出。耳、鼻、口腔及咽部无特殊。甲状腺不大,未触及结节。两侧颈部及锁骨上窝未触及肿大淋巴结。颈外静脉不怒张,气管居中。心肺、腹部及妇科检查均无异常。化验:血、尿、粪常规及肝肾功
Ding Mou, female, 58 years old, married. Since the summer of 1983, he has often had a dry cough. Hemoptysis began 2 months later, usually several milliliters per day, even up to 20 ~ 30ml, in the external hospital symptomatic treatment is invalid. No heart palpitations, difficulty breathing, weight loss and fatigue. He was admitted to hospital on May 2, 1984 for hemoptysis. Previously healthy, 47 years old amenorrhea, no previous neck pain and mass history. No chronic cough, sputum, night sweats, and low fever history. Physical examination: T37.4C, P84/min, BP13.3/9.33 KPa (100/70 mmHg), R20/min. God clear, moderate nutrition. The eyeball is not prominent. No special ear, nose, mouth and throat. The thyroid gland is not large and it does not touch the nodule. Both sides of the neck and supraclavicular fossa did not reach the enlarged lymph nodes. The external jugular vein is not engorged and the trachea is centered. Cardiopulmonary, abdominal and gynecological examinations were all normal. Laboratory tests: blood, urine, excrement and liver and kidney function