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患者48岁,于1996年6月23日因突然出现头晕,伴恶心、呕吐2小时入院。无头痛耳鸣,无发热腹痛。检查:体温37℃,脉搏86次/分,呼吸20次/分,血压12/8kPa。神清,两瞳孔大小正常,且对称,眼球无震颤,颈软,心肺无异常,腹软无压痛,病理反射未引出。经腰穿、头颅CT及脑血流图等检查均无异常发现,血常规、肝功能正常。当时诊断为眩晕症,经用盐酸654-2等对症治疗,一周后症状消失出院。1996年7月28日上述症状复发再次入院,仍按前次方法治疗,病情未见好转,次日在查房时,患者自诉无意中发现左侧乳房有肿块,查体发现左侧乳房外上缘
The patient was 48 years old and was admitted to hospital on June 23, 1996 due to sudden dizziness, accompanied by nausea and vomiting for 2 hours. No headache, tinnitus, no fever abdominal pain. Check: body temperature 37 °C, pulse 86 beats / min, breathing 20 beats / min, blood pressure 12/8kPa. Shen Qing, the two pupil size normal, and symmetrical, no tremor of the eyeball, neck soft, no abnormal heart and lung, abdominal tenderness without tenderness, no pathological reflex. After lumbar puncture, skull CT, and cerebral blood flow chart, no abnormal findings were found. Blood routine and liver function were normal. At that time, the diagnosis was vertigo. Symptomatic treatment was performed with hydrochloric acid 654-2 and symptoms disappeared after one week. On July 28, 1996, the recurrence of the above symptoms was re-admitted to the hospital. The patient was still treated according to the previous method. The condition did not improve. On the next day when the patient checked, the patient’s private prosecution inadvertently found a lump in the left breast. The examination revealed that the left breast was on the outside. edge