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患者,女,35岁。因咳嗽、胸痛、血痰1个月于1990年5月12日入院。1个月前无明显诱因出现咳嗽、血痰伴左侧胸痛,不发热,无脓臭痰,当地医院按肺炎抗炎治疗1周无好转。月经及生育史:月经为19 3-5/28-30,量少,无痛经,孕4产3,引产一次,查体:表浅淋巴结无肿大,胸廓对称,左下叩浊,呼吸音弱,心脏无异常,肝脾未触及,腹部未扪及包块。WEC12.9×10~9、LN88%,胸片:左中下9×11cm巨大椭圆形致密阴影,密度均匀,边缘光滑锐利,侧位块影位于左下叶背段,椎间孔无扩大,脊柱及肋骨无破坏。初诊:纵隔肿瘤(神经源性),胸部B超检
Patient, female, 35 years old. The hospital was admitted to hospital on May 12, 1990 due to cough, chest pain, and blood stasis. One month ago, no obvious cause of cough, bloody left side chest pain, no fever, no phlegm and sputum, local hospital anti-inflammatory treatment according to pneumonia did not improve for 1 week. Menstruation and birth history: Menstruation is 19 3-5/28-30, less, no dysmenorrhea, 4 production 3, pregnancy induction, examination: superficial lymph nodes without enlargement, chest symmetry, left lower turbidity, poor respiratory sounds There was no abnormal heart, no liver and spleen, and no abdomen and mass. WEC12.9×10~9, LN88%, Chest X-ray: 9×11cm in the left lower lobe with dense elliptical shadows, uniform density, smooth and sharp edges, lateral block shadows in the left lower lobe, no intervertebral foramen, spine And no damage to the ribs. New diagnosis: mediastinal tumor (neurogenic), chest B-ultrasound