病例女,68岁。住院号:24502。因咳嗽、咯痰3个月,左颈部肿物半月余入院。于3个月前无诱因出现咳嗽、咯白色泡沫状痰,伴有发热,无胸痛、盗汗,偶尔有痰中带血丝,未予以注意。近半月发现左颈部肿物,伴周身乏力、消瘦,无声音嘶哑和吞咽困难。查体:T36.9,Bp16/12.5。慢性消耗性疾病病容。颈部及左锁骨上窝可触及数个肿大之淋巴结,直径约2.0～8.0mm,表面光滑,活动 Case female, 68 years old. Hospital number: 24502. Due to cough, expectoration for 3 months, left neck and more than half a month hospitalized. 3 months ago, there was no incentive to cough, slightly white foam-like sputum, accompanied by fever, no chest pain, night sweats, occasional bloody sputum, did not pay attention. Nearly half of the month found the left neck mass, with the whole body fatigue, weight loss, no hoarse voice and difficulty swallowing. Physical examination: T36.9, Bp16 / 12.5. Chronic wasting disease sickness. Neck and left supraclavicular fossa can reach a few swollen lymph nodes, a diameter of about 2.0 ~ 8.0mm, smooth surface, activity