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病例介绍第一次入院:患者男、35岁,因胸片异常入院。患者一向健康,8周前开始感到胸骨下不适如烧心感,但与进食、活动或体位改变无关。体检无异常,EKG正常。胸片及断层X线检查显示纵隔上部及两侧肺门淋巴结肿大,左下叶中部可见清晰分叶的8.5×6cm蛇形致密阴影;未见有血管出入其中,枝气管造影无气、气液平及钙化;致密阴影边缘未能与下后纵隔清楚分离,无胸腔积液及其他异常。肌酐0.9mg%,尿酸7.8mg%,钙11.4mg%,SGOT18u/ml,碱性磷酸酶281u/ml。
The case was admitted for the first time: The patient was male, 35 years old, and was admitted to hospital because of abnormal chest radiograph. The patient was always healthy and began to feel substernal discomfort such as burning heart sensation 8 weeks earlier, but it was not related to changes in eating, activities, or posture. No abnormal physical examination, EKG normal. Chest radiographs and X-ray examinations of the chest showed lymph nodes enlargement in the upper part of the mediastinum and on both sides of the hilum. There was a dense, 8.5×6 cm, serpentine shadow in the left lower lobe. There were no blood vessels in and out of them. Flat and calcified; the dense shadowed edge failed to separate clearly from the posterior mediastinum, without pleural effusion and other abnormalities. Creatinine 0.9mg%, uric acid 7.8mg%, calcium 11.4mg%, SGOT 18u/ml, alkaline phosphatase 281u/ml.