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患者,男,69岁,因咳嗽,右胸肋部疼痛半年,声嘶1月于1989年8月9日收入院。半年前出现干咳,伴喘息,胸闷。右胸肋部隐痛,且逐渐加重,近1月出现声嘶、消瘦。“高血压”病史10余年,未坚持服降压药。否认“结核”、“肝炎”病史。吸烟50年,每日20支,查体:体温35.9℃,脉搏100次/分,呼吸28次/分,血压17/10.6kPa.消瘦,左右销骨上窝扪及黄豆大小淋巴结各一个,气管右偏,颈静脉轻度怒
The patient, male, 69 years old, suffered a cough and had pain in the right thoracic rib for half a year. He was admitted to the hospital on August 9, 1989 in January. Half a year ago there was dry cough with wheeze and chest tightness. The right chest and ribs are painful and gradually worsening, with hoarseness and weight loss occurring in the last January. “Hypertension” history of more than 10 years, did not insist on taking antihypertensive drugs. Denies the history of “tuberculosis” and “hepatitis.” Smoking for 50 years, 20 cigarettes per day, physical examination: body temperature 35.9°C, pulse rate 100 beats/min, respiratory rate 28 breaths/min, blood pressure 17/10.6 kPa. Weight loss, left and right pin bone sockets, and soy bean size lymph nodes, trachea Right deviation, jugular vein mild anger