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1临床资料患儿,女,3岁11个月,以“咳嗽伴胸闷气喘10d”为主诉于2013年1月3日入院。患儿3a前曾在外院诊断“左肺囊肿”行手术切除,术后未定期复查。10d前开始咳嗽,伴胸闷、气喘,无胸痛、咯血。体格检查:胸廓饱满,呼吸急促,肋间隙增宽,语颤增强;左肺叩诊实音,呼吸音低;心浊音界右移;余无异常。胸部CT见胸腔内巨大软组织肿块影,密度不均匀,内可见片状低密度影,考虑肉瘤或孤立性纤维瘤可
1 clinical data of children, women, 3 years and 11 months to “cough with chest tightness and wheezing 10d ” as the chief complaint on January 3, 2013 admission. Pediatric 3a had previously diagnosed in the hospital “left lung cyst” line of surgery, postoperative not regularly reviewed. Begin coughing 10 days before, with chest tightness, wheezing, no chest pain, and hemoptysis. Physical examination: chest fullness, shortness of breath, intercostal space widening, tremor increased; percussion of the left lung real tone, low breath sounds; heart dullness right shift; I no exception. Chest CT see a huge soft tissue mass in the thoracic cavity, uneven density, visible within the low-density film, consider sarcoma or solitary fibroma