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病例1.男性,26岁,工人。自述一个月来常患感冒,周身乏力,轻微咳嗽,无咯血。检查:一般状态较好,血压120/80毫米汞柱。听诊两肺除呼吸音粗糙外无明显异常。血常规正常。既往健康。临床诊断:(1)感冒;(2)疑肺结核。 X线检查:左肺上叶可见一个5.0×5.2厘米直径的薄壁囊状圆形透亮区,外缘光整,内壁较光滑、透亮区内有小液平,周围肺野清晰。X线诊断左肺囊肿。经胸外科会诊,诊断左肺囊肿,收入院。手术诊断:左肺上叶前段边缘型肺癌。病理诊断:腺癌。病例2.患者男性,40岁。自述胸痛、气短,发热,半月后出现大量脓痰,在当地医院抗菌素治疗。无效来我院就诊。检查:一般状态佳,血压,脉
Case 1. Male, 26 years old, worker. Readily reported a month of common cold, whole body fatigue, mild cough, no hemoptysis. Check: The general state is better, blood pressure 120/80 mm Hg. In addition to auscultation of both lung lung sounds outside the rough no obvious abnormalities. Normal blood. Past health. Clinical diagnosis: (1) cold; (2) suspected pulmonary tuberculosis. X-ray examination: the left upper lobe can be seen a 5.0 × 5.2 cm diameter thin-walled circular translucent area, the outer edge of the whole, the inner wall is smooth, clear area has a small liquid level, the surrounding lung field clear. X-ray diagnosis of left lung cysts. Thoracic surgery consultation, diagnosis of left lung cyst, income hospital. Surgical diagnosis: anterior margin of the left upper lobe lung cancer. Pathological diagnosis: adenocarcinoma. Case 2. Male patient, 40 years old. A statement of chest pain, shortness of breath, fever, a large number of half a month after purulent sputum, antibiotic treatment in the local hospital. Invalid to our hospital. Check: the general state of good, blood pressure, pulse