患者沈某,男,38岁。入院前1年开始咳嗽、胸痛,两个月前开始气促、颜面及下肢浮肿,胸片报告“纵膈肿瘤”,于1986年2月20日入院。查体:血压150/90mmHg、脉搏82次/分,呼吸26次/分,体温36℃,消瘦,颜面浮肿,气管右移,颈静脉怒张,左胸隆起,心尖搏动在右胸骨旁第五肋间,心尖部闻Ⅱ°收缩期杂音。 The patient Shen M, male, 38 years old. Cough and chest pain began one year before admission, and shortness of breath, facial edema, and lower extremity edema began two months ago. The chest radiograph reported “Mediastinal tumor” and was admitted to hospital on February 20, 1986. Physical examination: blood pressure 150/90mmHg, pulse 82 beats/min, respiratory rate 26 breaths/min, body temperature 36°C, weight loss, facial edema, right trachea movement, jugular vein engorgement, left chest uplift, apical pulsation in the right sternal fifth Intercostal, apex systolic murmur heard at the tip of the heart.