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1 临床资料例1,男性,42岁。以“咳嗽、胸痛半年、双眼睑下垂、视物不清1月”为主诉于1997年9月5日入院。半年前咳嗽,胸痛、间断发热,一月前双眼睑下垂、视物不清,发音含糊不清,双目直视。查体:体温38℃,神志清,反应迟钝,颈软,左侧胸廓饱满,叩诊呈实音,呼吸音消失,心脏正常,四肢肌力正常,胸片提示:右肺上、中、下野外带呈波浪状密度增高影,胸膜活检诊断为:恶性胸膜间皮瘤。用环磷酰胺、阿霉素治疗后病情好转出院。
1 clinical data example 1, male, 42 years old. “Cough, chest pain for six months, double eyelid ptosis, blurred vision in January,” the main complaint was admitted on September 5, 1997. Six months ago cough, chest pain, intermittent fever, drooping eyelids a month ago, depending on the material unclear, pronounced vague, eyesight. Physical examination: body temperature 38 ℃, conscious clear, unresponsive, soft neck, full of left thoracic, percussion was solid tone, breath sounds disappeared, normal heart, muscle strength of the limbs, chest X-ray tips: the right lung, middle and lower back field With wavy density increased shadow, pleural biopsy diagnosed as: malignant pleural mesothelioma. With cyclophosphamide, doxorubicin improved condition after treatment was discharged.