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患者 ,男 ,77岁 ,以“消瘦乏力二年 ,胸闷气短十天”于 1999年 5月 10日入院。二年前出现消瘦乏力、活动后气短 ,经骨穿确诊“骨髓增生异常综合征” ,肌注丙酸睾丸酮、维生素Ｂ12 等治疗好转。十天前症状加重 ,胸片示“左胸腔大量积液”。查体 :消瘦貌 ,气管右偏。左胸廓饱满 ,
The patient, male, 77 years old, was admitted to the hospital on May 10, 1999, with “fatness and weakness for two years and chest tightness and shortness of breath.” Two years ago, she developed weight loss, fatigue, and shortness of breath after activity. He was diagnosed with “myelodysplastic syndrome” and confirmed by intramuscular injection of testosterone propionate and vitamin B12. Ten days before the symptoms worsened, the chest radiograph showed “a large amount of fluid in the left chest cavity.” Physical examination: Obscene appearance, right side of the trachea. Left chest full,