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患者男,50岁,工程师。6年前因盆腔肉瘤先后两次手术,术后情况良好。近4个月来,咳嗽,痰中带血,胸部X线检查发现左、右下肺分别有12cm×11cm×11cm和10cm×9cm×9cm大小肿块。胸部磁共振检查病变同上,纵隔淋巴结不肿大,左肺门淋巴结1个约0.5cm×0.7cm。入院诊断:双下肺转移性肿瘤。住院检查:一般情况尚可,浅层淋巴结无异常;心肺正常;血、尿、肝、肾功能正常;ECG、呼吸功能及血气分析基本正常;肝B超检查正常。在气管插管静脉复合麻醉下行双侧开胸,双侧经第4肋间横断胸骨进胸。先检查右下肺,肿块在下肺基底段约10cm×10cm×9cm,先结扎切断右下肺动脉及右下
Male patient, 50 years old, engineer. 6 years ago because of pelvic sarcoma has two operations, postoperative good condition. In the past 4 months, cough, sputum blood, chest X-ray examination showed left and right lungs were 12cm × 11cm × 11cm and 10cm × 9cm × 9cm size lump. Chest MRI lesions were identical, mediastinal lymph nodes were not enlarged, and a left hilum lymph node was approximately 0.5 cm×0.7 cm. Admission diagnosis: double lung metastatic tumors. Hospital examination: General conditions are acceptable, no abnormalities in superficial lymph nodes; normal heart and lung; normal blood, urine, liver and kidney function; ECG, respiratory function and blood gas analysis are basically normal; liver B-ultrasound is normal. In the tracheal intubation and intravenous anesthesia, both sides opened the chest and bilaterally transected the sternum into the chest through the fourth intercostal space. First check the lower right lung. The mass is about 10cm x 10cm x 9cm in the basement of the lower lung. The first ligation cuts the lower right pulmonary artery and the lower right