1 病例报告患者男,48岁。胸痛逐渐加重3个月,胸闷、气短明显1个月,5天来咳嗽,咯白色泡沫样痰,不咯血,不能平卧,曾晕厥1次。在外院 CT 检查诊断为纵隔肿瘤,于1997—01—15入院。检查:体温37.2℃,脉搏110/min,无奇脉,呼吸20/min,血压16/12 kPa(120/90 mmHg)。一般状态尚可,端坐呼吸,颈静脉稍怒张。气管无偏移,两锁骨上淋巴结不肿大。胸廓对称,左 1 case report patient male, 48 years old. The chest pain gradually increased for 3 months. Her chest tightness, shortness of breath were evident for 1 month, coughing for 5 days, slightly white foam-like sputum, no hemoptysis, no supineness, and 1 syncope. In the external hospital CT diagnosis was diagnosed as mediastinal tumor. He was admitted from 1997 to 01-15. Check: body temperature 37.2°C, pulse 110/min, no odd pulse, breathing 20/min, blood pressure 16/12 kPa (120/90 mmHg). General condition is acceptable, sitting breathing, jugular veins slightly angry. No deviation of the trachea and no enlargement of the two supraclavicular lymph nodes. Thoracic symmetry, left