病历摘要患者男性 ,4 0岁 ,农民。因咳嗽、气短伴吞咽不畅 2个月于2 0 0 0年 6月 2 6日入院。患者入院前 2个月出现咳嗽 ,咳少许白粘痰 ,渐起胸闷、气促 ,伴吞咽不畅。无发热、咯血。外院胸部 CT示“纵隔占位性病变”,接受二次化疗 ,具体不详 ,因症状渐重来我院。发病以来纳差 Medical record Summary Male patient, 40 years old, farmer. Due to cough, shortness of breath with swallowing poor 2 months in June 26, 2000 admission. Patients 2 months before admission cough, cough a little white phlegm, gradually chest tightness, shortness of breath, with swallowing poor. No fever, hemoptysis. Outside the chest CT showed “mediastinal space-borne lesions,” to accept the second chemotherapy, specifically unknown, due to symptoms gradually to our hospital. Anorexia since the onset