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患者,男,53岁。5个月前因脑梗塞在外院住院时,胸片检查发现前纵隔肿物,肿物最大径约8cm,因当时患者偏瘫未能作进一步诊治,只是对症处理。近2个月来左侧卧位感觉气短,但无咳嗽、咳痰、咯血、哮喘、颜面潮红等症状及内分泌功能紊乱的表现。1989年5月9日来我院诊治。体检:体温、脉博及血压正常。营养中等,神清,全身浅表淋巴结未触及。心界不大,心律齐,双肺呼吸音清,腹软,肝脾未触及。左侧上下肢肌力Ⅲ级,生理反射存在,病理反射未引出。
Patient, male, 53 years old. When hospitalized with cerebral infarction in the outer hospital five months ago, the chest radiograph revealed an anterior mediastinal mass with a maximum diameter of about 8 cm. At that time, the patient’s hemiplegia was not treated for further treatment. Only symptomatic treatment was performed. In the past 2 months, the left lying position felt shortness of breath, but there were no symptoms such as cough, sputum, hemoptysis, asthma, facial flushing, and endocrine disorders. May 9, 1989 came to our hospital for treatment. Physical examination: body temperature, pulse and normal blood pressure. Nutrition is moderate, Shen Qing, the body’s superficial lymph nodes are not touched. The heart of the world is not big, the heart rate is equal, the breath sounds are clear in both lungs, the abdomen is soft, and the liver and spleen are not touched. The left and right upper limbs had grade III muscle strength, physiological reflexes, and no pathological reflexes.