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病历摘要患者,男,54岁。于1986年12月初无明显诱因下发现右胸部持续隐痛,呼吸时加重,无发热、咳嗽、咳痰及外伤史。髋部及四肢骨骼有轻度酸痛,呈游走性。在我院摄全胸片,示右第6后肋呈溶骨性损害。后去外地医院住院1月余,进行了全面检查,除发现右第6肋骨骨质破坏外均未发现其它异常。于1987年2月初诊为肋骨骨质破坏待查而收入我院。入院检查:体温36.8℃,呼吸24次,血压16/10.67kPa。发育良好,营养中等,神清,皮肤糕膜未见瘀点、瘀斑,全身浅表淋巴结无肿大。两侧胸廓对称,右侧第6后肋有固定压痛。心界不大,心率108次,律
Patient summary, male, 54 years old. In early December 1986 there was no obvious incentive to found that the right chest continuous pain, increased breathing, no fever, cough, sputum and trauma history. Hip and limb bones mild soreness, was walking. Full chest radiography in our hospital, showing the right after the sixth ribs were osteolytic lesions. After more than one month hospitalization in a field hospital, a comprehensive examination was carried out. No other abnormalities were found except for the right 6th rib bone destruction. In February 1987 initial diagnosis of rib bone destruction to be investigated and income in our hospital. Admission examination: body temperature 36.8 ℃, breathing 24 times, blood pressure 16 / 10.67kPa. Well-developed, medium nutrition, clear, skin cake no petechia, ecchymosis, systemic superficial lymph nodes without swelling. Thoracic symmetry on both sides of the right posterior 6 ribs have a fixed tenderness. Heart, heart rate 108 times, law