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患者男性,41岁,陕西省宝鸡市人,已婚,于1981年3月18日以右侧胸背痛二月余之主诉入院。于两月前无原因右侧胸背部呈针刺样痛,每次持续数分钟不等、夜间发作次数较多,曾先后多次内科门诊,诊断“神经痛”服用中西药未能奏效。近半月,病情加重,呈持续性钝痛,体重下降,乏力,无发烧发冷,无咳嗽及盗汗等。既往史;平素身体健康,无结核病接触史。查体:T36.4~0 e,P98次/分,R18次/分,BP130/90mmHg,发育及营养良好,各系统
Male patient, 41 years old, Baoji City, Shaanxi Province, married, on March 18, 1981 to the right chest and back pain in February more than the main admission. Two months ago no reason on the right side of the thoracodorsal acupuncture-like pain, each lasting several minutes, the number of attacks at night more, has repeatedly medical clinic, diagnosis of “neuralgia” taking Chinese and Western medicine failed to work. Nearly half a month, the condition worsened, persistent dull pain, weight loss, fatigue, no fever, no cough and night sweats. Past history; usually healthy, non-TB contact history. Examination: T36.4 ~ 0e, P98 times / min, R18 beats / min, BP130 / 90mmHg, good development and nutrition, the system