患者 ,男 ,35岁 ,银行职员。主因纳差、消瘦、全身无力 9个月 ,左耳听力减退、饮水呛咳 3个月 ,呼吸困难 1个月于 2 0 0 3年 3月 2 6日由外地转入宣武医院北京神经内科会诊中心病房。9个月前 ,患者感工作压力大 ,情绪低落 ,食欲下降 ,进食少 ,全身乏力 ,未予特殊治疗。 3个月后 Patient, male, 35 years old, bank clerk. The main cause of anorexia, weight loss, general weakness 9 months, left ear hearing loss, cough drinking water for 3 months, 1 month of difficulty in breathing on March 26, 2003 from the field transferred to Xuanwu Hospital, Beijing Neurological Consultation Central ward. 9 months ago, the patient felt a great deal of work stress, depression, loss of appetite, eating less, malaise, no special treatment. 3 months later