患者 ,男性 ,70岁。因痰中带血、声音嘶哑 4月 ,右上肢水肿、皮肤红斑半月入院。患者于 4月前无明显诱因出现轻微咳嗽 ,痰中带血 ,声音嘶哑 ,言语不清。在外院行ＣＴ检查示“左上肺癌”未行特殊治疗。半月前出现右侧肩、颈及右上肢水肿 ,并逐渐出现皮肤发红、瘙痒 ,经“输液” Patient, male, 70 years old. Due to bloody sputum and hoarseness in April, the right upper limb was edema and erythema was admitted to the hospital for half a month. The patient had no obvious cause of mild coughing before April. He had bloody sputum, hoarseness, and unclear speech. A CT scan at the external hospital indicated that “left upper lung cancer” was not treated with special treatment. Half an hour before the onset of edema of the right shoulder, neck, and right upper limbs, and gradual redness, itching of the skin, after the “infusion”