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患者,男,16岁。因右胸部疼痛伴高热气促两天,X线胸片示右纵隔有9×6cm椭圆形块影。于1988年7月4日以纵隔淋巴瘤收住我院内科。检查,T39℃,P120次/分,P44次/分,BP11.9/7.9kPa;右肺呼吸音减弱,左肺呼吸音增强;WBC14.5×10~9/L,NO.84,L0.16,RBC3.8×10~12/L,Hb 110g/L,ESR 55 mm/h。入院后经抗炎及激素等治疗,呼吸困难缓解,体温下降,病情短期内稳定。7月17日X线胸片示纵隔块影直径增大至12cm,8月1日再次胸片检查,块影增大至15cm,几乎占据右侧1/2胸腔,患者出现明显气管及心脏受压表现,再次发热。8月8日转外科,8月15日在全麻下行剖胸探查。术中见右侧胸腔内有血
Patient, male, 16 years old. Due to the right chest pain with high heat for two days, the X-ray showed a 9×6cm elliptical block shadow in the right mediastinum. On July 4, 1988, he received mediastinal lymphoma from our hospital. Examination, T39°C, P120 beats/min, P44 beats/min, BP11.9/7.9kPa; Right lung breath sounds weakened, left lung breath sounds increased; WBC14.5×10~9/L, NO.84, L0. 16, RBC3.8×10~12/L, Hb 110g/L, ESR 55 mm/h. After admission, she was treated with anti-inflammation and hormones, and her breathing difficulties were relieved. The body temperature decreased and the condition stabilized in the short term. On July 17, the chest X-ray showed that the diameter of the mediastinum was increased to 12cm. On August 1st, the chest radiograph was performed. The block shadow increased to 15cm, occupying almost the right 1/2 chest cavity, and the patient experienced significant trachea and heart attack. Pressure performance, reheat. On August 8th, the surgery was performed. On August 15th, the thorax was examined under general anesthesia. See blood in the right chest during surgery