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病例介绍:患者女,23岁。妊娠近足月,3月前突感左乳外侧痛,无硬结及发热。1个月后局部出现红肿,在某门诊部被诊断为急性乳腺炎,经用青霉素肌注,共30次,历时1月红肿未消,疼痛不减。于1962年6月26日来本院门诊,仍诊断为急性乳腺炎,嘱回单位作超短波及热敷,共10次,疼痛略减轻。7月7日再来复诊,又加服长效西林,然症状反而加重,左乳红肿范围扩大,疼痛延及左上臂。7月19日经门诊作活检,始确诊为乳腺癌收住院。患者9岁时左乳房曾患“乳疮”,愈后留有一大疤痕。查体:体温37℃,脉搏80次,呼吸20次,
Case description: Female patient, 23 years old. Nearly full-term pregnancy, 3 months before sudden left lateral mammary pain, no induration and fever. One month after the local swelling, in an outpatient department was diagnosed with acute mastitis, penicillin intramuscular injection, a total of 30 times lasted January swelling and pain disappeared, the pain diminished. June 26, 1962 to our hospital, is still diagnosed with acute mastitis, asked to return to the unit for ultra-short wave and heat, a total of 10 times, the pain slightly reduced. July 7 return visit, plus long-serving Xilin, but the symptoms actually aggravate the scope of the left breast enlargement, pain and extension of the left upper arm. July 19 by the clinic for biopsy, the initial diagnosis of breast cancer admitted to hospital. Left breast at 9 years old had “milk sores,” leaving a big scar. Physical examination: body temperature 37 ℃, pulse 80 times, breathing 20 times,