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患者,男.45岁,住院号102083。因咳嗽2月,颈静脉及胸壁静脉充盈伴气促1月,1985年10月30日入院.2个月前受凉后咳嗽、干咳为主.经当地医院中西药无效,近一个月来咳嗽加重.呈阵发性呛咳,伴呼吸困难。无发热、无咯血。既往体健.否认肺结核,慢支病史。查体:T37℃.P92次/分,R26次/分,BP100/60mmHg端坐状,呼吸急,颜面发绀。全身皮肤未见出血点,双颈淋巴结锁骨上窝淋巴结肿如花生大小,无触痛。双颈静脉明显充盈,胸骨无叩压痛。胸壁静脉显露.双肺呼吸清晰,肝脾未扪及。正侧位胸片示双侧纵隔明显增宽,考虑纵隔
Patient, male, 45 years old, hospital number 102083. Due to cough in February, jugular vein and thoracic vein filling with gas promote January, admitted to hospital on October 30, 1985. 2 months ago, cough after the cold, dry cough mainly by the local hospital invalid Chinese and Western medicine, cough increased in the past month Was paroxysmal cough, with difficulty breathing. No fever, no hemoptysis. Past physical health. Denied tuberculosis, chronic bronchitis history. Examination: T37 ℃. P92 beats / min, R26 beats / min, BP100 / 60mmHg sitting, shortness of breath, face cyanosis. No skin bleeding, double neck lymph node supraclavicular fossa lymph nodes such as peanut size, no tenderness. Significant filling of the double jugular vein, no pain in the sternum. Chest wall vein revealed lungs clear breathing, liver and spleen not palpable. Is chest X-ray showed bilateral mediastinal significantly widened, consider the mediastinum